IPAC RHTE# /O-S- aSo~~ Harnett County Department of Public Health
Improvement Permit 26768
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W r
ISSUED T}• sgy y ~7 ° r>1ej SUBDIVISION LOT #
NEW Cif REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _5"rb V 3 X 15- 6t
Proposed Wastewater System Type: r~ S" 7,
Projected Daily Flow: F 0 GPD
Number of bedrooms:- Number of Occupants: max
Basement ❑Yes LNo
Pump Required: ❑Yes I N ❑ be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community MaPublic ❑ Well Distance from well feet Permit valid for: 2 Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: / ci*' X el(I Date: 114 S~~~olf SEE ATTACHED SITE SKETCH
The issuance of this permit bya Health Department in no way 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 be 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, .1 9S7, .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: - 5_` _Vtj y /4 o M ef° PROPERTY LOCATION:
SUBDIVISION k" 6,A F.-f-^r LOT # 5-
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes Fzr No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a S 7, ked a e\ r~_ (Initial) Wastewater Flow: GPD
(See note below, if applicable Ivl)
.2-5-7-
P-_ (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size /000 gallons
Exact length of each trench Cl feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: % `ti - 30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: C - /2, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /under fond the system type specified is different from the type specified on the application. / accept the speciTcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, olat. or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershia 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: Zf"!::- "eC ffv Date: 7 dot,
Construction Authorization Expiration Date: l ct6
HTE# /o-S =a5"0 f-
Permit # 0`2\-'-I '6
Harnett County Department of Public Health
Site Sketch
t/ PROPERTY LOCATON: r, Q
ISSUED T0: ~ v Yy ft C SUBDIVISION A k s- F C-211 LOT # J
Authorized State Agent: Z.1~ , ~t~ Date: /l 1,12- 0/
(~MM0.. bur
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: /7!
Address: Date Evaluated. ! o /
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Q ublic❑ Individual ❑ Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
0
F
I
L
1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
Landscape Horizon
Position Depth
Slope % (In.)
1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
Lis -26
ze-
Description Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space .1945)
Evaluated By:
System T e(s)
I d
Others Present:
ri
L
Site LTAR S~
,
/
.