IPACHTE#_li-J-aUY 73 Harnett County Department of Public Health
Improvement Permit 2 6 3 4 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 71)cic, S- try,
ISSUED TTo. V~qA SUBDIVISION -7`a-t&f e4-x- yZ r/5e LOT # /I
NEW hz( REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _S-' r'' 0 60 0,60
Proposed Wastewater System Type: oIJ-~,p r&ckvct° cAjsjrT,r A-
Projected Daily Flow: q150 - GPD
Number of bedrooms: 41 Number of Occupants: max
Basement ❑Yes VNo
Pump Required: ❑Yes ❑ No 01. be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Rf tive years
Permit conditions: ❑ No expiration
Authorized State Agent:: /x _ /``S- X 45 Date: YA 6 /_'_r'1 I/ SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department in ri " ray guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not he affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: ~yn~t CQA,1~Cu3 4 aa1 PROPERTY LOCATION: ~ ct s p
SUBDIVISION : dl LOT # /f
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes Cr No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" c~ZrX feJvJ--tit (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable
02.S o ut.4-`. C :zn e_74 4- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 000 gallons Exact length of each trench / L70 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a t, Soil Cover: 1&-1'6 inches
Maximum Trench Depth of: d°!~ k_yginches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: I understand the system type specified is different from the type specified on the app/icatiom / accept the speciTcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 1/ 4< Date: /2 6 /21, _
Construction Authorization Expiration Date: a (D _016
HTE# /j- 47° a t- X17.7 Permit # z~ ~-3 VY
Harnett County Department of iblic Health
Site Sketch
®37
kCA-vt.ky p-,-6y
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
On-Site Wastewater section
Property ID:
Lot
SOIIJSITE EVALUATION
File
Code:
for ON-SITE WASTEWATERSYSTEMI
Owner. Applicant:
Addr+em. Date Evaluated:
Proposed Facility: Desigm Flow (.1949):
Pmperly Size:
Location o[ Site: Property 9mrded:
Watet $app[p L7 do, 0 hxNdual ❑ Well
A
❑ Spring ❑ Other
Evaluation Method: (
uger Boring ❑ Pit
Type of Wastewater
Q S
❑ I
. Cut.
.
ewage
rY uga al Peres
mixed.
P
R
O
F SOIL MORPHOLOGY
OTHE
i 1940 .1941
L Ian mmp Horizon
R
PROF11,6 FACTOR3
.1941
9 Poetdow Dq* .1941 .1941 Soil
s Slope % (1m) stuchow ConsideM Wetness/
.1')43 .1916
.1944 home
/ Texh" Minerals Color
soil Sapro
QY, __Stan
Re* clan
Hans. iLTA>t
I~(
Iles
«epar system Other Factors (.1446)
a Site Cl&Wcadon (.1948) Sr
Eval ated Br,&r-
,y c, ` Others presme 6-r'