IPACHTE#/U •,5- 6Zct/~Z8 Harnett County Department of Public Health
Improvement Permit 2 6 7 7 6
A building permit cannot be issued with only an Improveme t Permit j
PROPERTY LOCATION: 117 Q~ c ~_ro,
ISSUED TO. ba}Ph SUBDIVISION LOT #
NEW V REPAIR ❑ EXPANSION ❑
Type of Structure: NSF D r^
Proposed Wastewater System T pe: _A5-1'.,
Projected Daily Flow: `t/4 GPD
Number of bedrooms: y Number of Occupants: v max
Basement ❑Yes
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes 10 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community C/Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
12-five years
❑ No expiration
Authorized State Agent:: Date: / 8 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the H th 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, .19
52, .1954, .1955, .1956, .1951, .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:
n~ J
PROPERTY LOCATION: ~J-
SUBDIVISION
LOT #
Facility Type:
ZNew ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes El No
Type of Wastewater System** c9-:sZ
~Ienti
(Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size /00 0 gallons
Exact length of each trench S o feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: /8 - U inches
Maximum Trench Depth of: 20- 18 inches
(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
+
kg-
'
A
48
s-~
3y f'
` ~19~
Aggregate Depth: inches above pipe
c.
f
O-
•
Conditions:
a
c
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 application. / accept the specifications 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 Jtt Al IALHtU Silt SKETCH
Authorized State Agent: cti s Zr- l Date:
Construction Authorization Expiration Date: i! aC/
HTE# /O - S- ~Y 14' Permit # -2- 7 7 L
Harnett County ]Department of niblic Health
Site Sketch
PROPERTY LOCATON: us r nom/ c l/Cj.
ISSUED T0: e~ c c~h1' SUBDIVISION LOT #
Authorized State Agent: Date:
~ S5-
i- . r
f
acs'
~r
mt4 ~~5~
r
a Rf
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: f
Address: Date Evaluated: I t I/-7 2- 6 I r
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: NJ public❑ Individual ❑ Well
Evaluation Method: 0 Auger Bgr(ng ❑ Pit ❑ Cut
Type of Wastewater: Q Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
t
1940
SOIL MORPHOLOGY
OTHER
L
Landscape
Horizon
.1941
PROFILE FACTORS
1942
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure!
.1941
Consistence
.
Soil .1943
Wetness/ 1956
Soil
Profile .1944
Texture
Mmeralo
Sapro
Color D th IN. Class
Restr estr Class
Horiz & LTAR
G
f
Description
Initial Repair System Other Factors (.1946):
Available Spa
ce .1945)
S stem
Site Classification (.1948): f
S stem T e(s)
c
Evaluated B
Site LTAR
Others Present:
: 0
>