IPACHTE# s=A 6 Harnett County Department of Public Health
Improvement Permit 2 6 7 8 6
A building permit cannot be issued with only an Improvement Permit
t PROPERTY LOCATION: Z) d .
ISSUED~TOO- y 4 `c t 3 7t✓ ~~-~'.cn SUBDIVISION l v- o f E~f rQ ' cl ~A LOT #
NEW L~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1/7 X37
Proposed Wastewater System Type: a 70
Projected Daily Flow: ° GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes -2 ;No
Pump Required: ❑Yes I No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
E F ve years
❑ No expiration
Authorized State Agent:: 442 ~a+. t Date: l/Z~ 1.2o/Z SEE ATTACHED SITE SKETCH
The issuance of this permit by th ealth 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, AM, .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: y-4 PROPERTY LOCATION:
SUBDIVISION of4 --r , -005.: LOT # 9{
Facility Type: SF 2/New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2/' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** -r-1. le VCK s 4 (Initial) Wastewater Flow: 6 GPD
(See note below, if applicable
oU /eJ 4(Repair)
Installation Requirements/Conditions Number of trenches V
Septic Tank Size _/'000 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 6 G feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 16',70 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: 6 -/d inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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: /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 ownershio 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: Date:
J Construction Authorization Expiration Date:
HTE# /~-S=d81s~
Permit # a', b7 8 t-
arnett County epaiAment of iblic Health
Site Sketch
PROPERTY LOCATON:_
ISSUED TO: W.r= v4 n ~c.aJ~✓vc~ u~ SUBDIVISION 7 fie LOT #
Authorized State Agent:/ uao:., / Date: 4710-12-
14~
/N GC ✓Ci
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:
Address: Date Evaluated: / Z°l 2-
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: / HBIun~lg ic❑ Individual ❑ Well ❑ Spring
Evaluation Method: Auger ❑ Pit ❑ Cut
Type of Wastewater: age ❑ Industrial Process ❑ Mixed
P
R
O
F
1
1940
SOIL MORPHOLOGY
L
.
Landscape
Horizon
.1941 PROFIT
1942
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure/
.
.1941 Soil
Consistence Wetness/
Texture
Minera
l
o Color De
pp
al
lo
2r
s~~ J'Cr
G~ff~
!1
Description
LTAR
Sheet:
Property ID:
Lot
File
Code:
0 _~-6,t ~c / I r-. _~7f))
Initial Repair System Other Factors (.1946):
System, Site Classification (.1948):
Evaluated By:~,~•
f 7 Others Present:
r `1
0 Other
iTHER
,E FACTORS
1943 .1956 jHodz Profile
Soil Sapro Class
nth IN. Class & LTAR
1/57 q
~fy