IPACHTE# is -~'2 8/s17 Harnett County Department of Public Health
Improvement Permit 26791
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: aL f AJ -
ISSUED TO: V ✓t /t Cc"J4,~ 0v" SUBDIVISION ✓`a LOT #
NEW E REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: n 5-71
Proposed Wastewater System Tye:
Projected Daily Flow: Y 8' GPD
Number of bedrooms: q Number of Occupants: max
Basement ❑Yes Colo
Pump Required: ❑Yes ❑ No "Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 121Public ❑ Well Distance from well feet Permit valid for: R Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: /ice ,/leIV Date: /Z-7 Y1/ 2- ell 2 SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department in no ay 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 Permio
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 T0: ~Vn~t ~21a /~~r m~
Facility Type: ED
Basement? ❑ Yes No Basement Fixtures?
Type of Wastewater System** a f -Yv 1e.A
(See note below, if applicable d
PROPERTY LOCATION: ~_~ecs Xd-
SUBDIVISION l fo +J e IF A ~ LOT #
I~ New ❑ Expansion ❑ Repair
❑ Yes ❑ No
~-4 v,1 (Initial) Wastewater Flow: y60 GPD
K'z.A" J"/ PA' (Repair)
Installation Requirements/Conditions Number of trenches -Z
Septic Tank Size /0G 0 gallons
Pump Tank Size / o~ a gallons
o-f Aee-,ed.
Pump Requirements: ft. TDH vs.
Exact length of each trench )00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. .3'-- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: , 5-4" c~ e ~c~iet cs 3 C, ;,~cd~sa i !$;,~cG~, .,C,~ 4ed
inches below pipe
inches above pipe
inches total
WATER LINES (IN(LUDING 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 speciTcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect 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 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 Agent: t Date: / c 2O ;12,
Construction Authorization Expiration Date: 2~ ®Zo/7
HTE# AZ- 5-- ?-,S 0-3 Permit # S~7 g I
Department of P'tbliC Heldth
County H(arnett
Site ketch
PROPERTY LOCATON: 'ea.
ISSUED TO: 'JA'I SUBDIVISION t✓'G 4-+q--r 'tl LOT #
Authorized State Agent: Date: //Z,/ 2012
jq3
1-7, /led ~~F ; o h
ry roc
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wo'-sc, Cr)kb sly,--
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:
Proposed Facility: Design Flow (.1949):
Location of Site: ~ Property Recorded:
Water Supply: CJ Public❑ Individual ❑ Well
Evaluation Method:E Auger Bow ❑ 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 %
Depth
(In.
.1941
Structure/
.1941
Consistence
.1942
Soil
1943 .1956
Wetnes
/
.1944 Profile
Texture
Mineralo
s
Soil Sa ro
Color p
De th IN. Class
Restr Class
Horiz & LTAR
c
Arfjl
Description
Initial Repair System Other Factors (.1946):
Available Space .1945)
S stem
Site Cl
assification (.1948):5
_System Ty e(s)
.Q
~I`
Evaluated B
Site LTAR
0
Oth :
Others Present: