IPACHTE# t Z Harnett County Department of Public Health
hDrovement Permit 2681
A building permit cannot be issued with only an Improvement Permit
f r PROPERTY LOCATION:'
ISSUED TO f ti~ ~°ti/ 1~JC SUBDIVISION f-ri1~t LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:'
Proposed Wastewater System Type: 16"~,1~~
Projected Daily Flow: 3400 GPD
Number of bedrooms: Number of Occupants: Lmax
Basement ❑Yes No
Pump Required: es ❑ No ❑ XPublic required based on final location and elevations of facilities
Type of Water Supply: E:1 Community ❑ Well Distance from well feet Permit valid for 2-five years
Permit conditions: _ ❑ No expiration
Authorized State A - Date: P - - ' Z. SEE ATTACHED SITE SKETCH
The issuance of this permit t Health Department in no way guarantees the issuance of other permits. The permit holderesponsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i 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, .1951, .1956. 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: 15"lCa 4,f * PROPERTY LOCATION: Y - --1 ~
SUBDIVISION LOT # 3f
Facility Type: O/New ❑l Expansion ❑ Repair
Basement? ❑ Yes Q No Basement Fixtures? ❑ Yes 5ANo
Type of Wastewater System** 4-zz_4t Z!55/&Jb ' A~-_ (Initial) Wastewater Flow: 3Z.. GPD
(See note below, if applicable
X3y s~11 ZS!& 14f-6L'Gr'•,Z (Repair)
Installation Requirements/Conditions Number of trenches q "t
Septic Tank Size 1000 gallons Exact length of each trench -7 0 feet Trench Spacing: Feet on Center
Pump Tank Size /c-0 gallons Trenches shall be installed on contour at a Soil Cover: j~2 inches
Maximum Trench Depth of: if = Zr 41i 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 4- inches below pipe
Aggregate Depth: z- inches above pipe
Conditions: / x- 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: / 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. SEE ATTACHED SITE SKETCH
Authorized State Date:
Construction Authorization Expiration Date: - r -
HTE # 12 - 3 11-7 Permit # 2 6 2 11
Harnett County Department of Public Health
Site Sketch
/ PROPERTY LOCATON•,I -/M ~~7d-14;,!.h~0
ISSUED TO: )90- --S SUBDIVISION LOT #
Authorized State Age . Date: JZ
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Pub ic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ff Auger Bo g El Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
❑ Mixed
P
R
O
F SOIL MORPHOLOGY OTHER
I .1940 1941
PR nFir _F F A CTnR Q
E
#
Position/ v Depth .
Slope % (In.
, .1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Soil
Wetness/
Color
.1943
Soil
Depth IN.
f
pp
'f jC ~1r
?
'se
L'
L
,
7 G'
2
~y
••yy 7 7th
5 /
Z.✓ f~
5L.
L tr_ `
Its l !°gri r,R.r j. l}
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): P
Available Space .1945) Evaluated By.
S stem Ty e(s)
Site LTAR ers Present:
.1956 .1944 Profile
Sapro Restr Class
Class Horiz & LTAR
s I
10
4