IPACHTE# 1/1- -Z y Harnett County Department of Public Health
Improvement Permit 26 81 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO(, 15-e
ISSUED TO;-1-ti-= - •r° 5 134"-& SUBDIVISION LOT #
NEW REPAIR ❑ EXP NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Aii%,VfLlrc®
Proposed Wastewater System Type: f~f ,`fcc: ~fcJ =j LJ 241A
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants:' max
Basement ❑Yes K es Pump Required: ®es ❑ No ❑~Ma.1~ be required based on final location and elevations of facilities /
Type of Water Supply: ❑ Community ?Public El Well Distance from well feet Permit valid for: Z Five years
Permit conditions: rrz- ' '"D - 6, 'Sl'- r-- P , ❑ No expiration
Authorized State Age - Date: / ° G y - /z - SEE ATTACHED SITE SKETCH
The issuance of this permit by, 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 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, .1 956, .1957, .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: - 41 9&.%
PROPERTY LOCATION:c
lz .5-~6. ,
SUBDIVISION
LOT #
`
~
( 2
.
iw
l1A
Facility Type:
Expansion ❑
2
New V
Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L~ No
Type of Wastewater System**^~r
(Initial) Wastewater Flow: GPD
(See note below, if applicable
1-- 7- 2W (Repair)
Installation Requirements/Conditions
Number of trenches -
Septic Tank Size f000 gallons
Exact length of each trench 41? 4)
feet Trench Spacing: Feet on Center
Pump Tank Size 6 gallons
Trenches shall be installed on contour at R
Soil Cover: t inches
Maximum Trench Depth of: 7-,Z! _
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
Aggregate Depth: G inches above pipe
Conditions: C~c t 4
,r)
6-,,s- r': Rt,"'%'
171' inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified is different from the type specified on the application. l 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 chances. The Construction Authorization shall not be transferred when there is a change in ownershin of the site. Thk
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 A f , I Date: vi
Construction Authorization Expiration Date: a- 0 1::~ t -7
HTE#
Harnett County
Permit #
Department of Public Health
Site Sketch
PROPERTY LOCATON: 9:~~,. i
ISSUED TO: f- Iz - -f" - lei 5-%-Cr a SUBDIVISION LOT #
Authorized State Ag - Date: / ZY - 12-
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: -2(-?,0
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: a ublic❑ Individual ❑ Well
Evaluation MethodE Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: -0-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/ Depth
Slope % (In.)
.1941 .1941
Structure/ Consistence
C
o
iste
.1942
Soil .1943
Wetness/ .1956
il
S
.1944
Profile
Texture
n
o
Sapro
Color
D th IN. Class
Restr
Horiz
Class
& LTAR
43
C (
z-- r-L I..,
-1 w
lgi~ '
.
~
~
~
t~~tLC.~fL a55 P
.
t~
Description Initial Repair System
Other Factors (.1946):
Available S
pace S stem / Site Classification (.1948):
.1945)
S stem T e(s)
Site LTAR I
is L 7v 27 (
<
Evaluated Others Present: By: C_