IPACHTE# /,7-5 y Z Harnett County Department of Public Health
Improvement Permit 2 6 81 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /~'~y; A''2-
ISSUED TC1thJk5 A SUBDIVISION LOT #
NEW REPAIR ❑ EXPA ION
Type of Structure: L) 0 Vi+s~
Proposed Wastewater System Type:
Projected Daily Flow: 3% 0 GPD
Number of bedrooms: Number of Occupants: 4-1 max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes 13'N o ❑ Ma e required~td on final location and elevations of facilities
Type of Water Supply: ❑ Community E Public E Well Distance from well : ° feet
Permit conditions:
Permit valid for:
(Five years
❑ No expiration
Authorized State Ag nit:'- Date: !'Z"f /Z- SEE ATTACHED SITE SKETCH
The issuance of this permit by/he ffealth Department in no way guarantees the issuance of other permits. The permit holder is responsible far checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if a 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, .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 ! GL0)PROPERTY LOCATION: Z
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? NE] Yes EJ No
Type of Wastewater System" Z071IzE`,/.)i/U"~Z' (Initial) Wastewater Flow: -.3-'w GPD
(See note below, if applicable
052,,11'~b0 c^ (Repair)
Installation Requirements/Conditions Number trenches -3
Septic Tank Size /00 C gallons Exact length of each trench >o feet Trench Spacing: 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Z -)/8 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
Conditions:
Aggregate Depth:
414- inches below pipe
Z inches above pipe
/ L 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 chance in ownershin 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: f --Z : i 1
H T E # f4- 29/97 Permit # 2616
Harnett County Department of Illblic Health
Site Sketch
PROPERTY LOCATON:, "
ISSUED T0: SUBDIVISION LOT #
Authorized State A Date: /Z-
.W
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: J0 'v 11~
Address: Date Evaluated:
Proposed Facility: 0 11 i`4 Design Flow (.1949): 36 0
Location of Site: Property Recorded:
Water Supply. / Public❑ Individual F1 Well
Evaluation Method:[3 Auger Bo .ng ❑ Pit ❑ Cut
Type of Wastewater; Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
.1940
SOIL MORPHOLOGY
OTHER
L
Landscape
Horizon
.1941
PROFILE FACTORS
E
#
Position/
Slope o
Depth 1941
(in.) Structure/
1941
Consistence
.1942
943
.1956
Wetness/ Soil .1
1944 Profile
Texture
Mineralo
S
Sa
Color D ~ IN pro
Class
Restr Class
Horiz & LTAR
CAL 4
r v SG C~
5W5
I
Description
Initial Repair System Other Factors (.1946):
Available S ace .1945)
S stem
Site Classification (.1948): PS
S stem T e(s)
75 -2
Evaluated By:
Site LTAR
z( `z
Others Present: