IPACHTE# .9-s a6ISg Harnett County Department of Public Health
Improvement Permit 2 6 7 9 0
A building permit cannot be issued with only an Improvement Permit
\ 1 PROPERTY LOCATION: r mod.
ISSUED TO: ~ ylq'A C 1 r4f_111A 1 a;1%1 SUBDIVISION f r , q °~-r e: cli c, LOT # 9 '7
NEW [Z' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J_F 6 S"-~t g r-
Proposed Wastewater System Type: _025'x, :,2e 4 v4; U A J~/ /~72 f"^
Projected Daily Flow: ~t 0 GPD 7
Number of bedrooms: N Number of Occupants: 8 max
Basement ❑Yes ZNo
Pump Required: ❑Yes ❑ No L✓J Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for: ET Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: l/z4t/Zt i 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 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, .1
954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references in
to this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: V M C cAJ'7"
PROPERTY LOCATION: -0 's AA 4.
-
SUBDIVISION 1`rQ- -L r
LOT # 9'7
Facility Type: , -5
New ❑ Expansion ❑ Repair
Basement? ❑ Yes E;K No Basement Fix
tures? ❑ Yes ❑ No
Type of Wastewater System**
~d Aa ook ~I Ye.~_
(Initial) Wastewater Flow: 3~ 5th GPD
(See note below, if applicable ~ g°~
20-490 k_A'J V✓A- (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size J0130 gallons
Exact length of each trench 2-13 Q feet
Trench Spacing: 9 Feet on Center
Pump Tank Size /00() gallons
Trenches shall be installed on contour at a
Soil Cover: tv- inches
i G n~ede d
Maximum Trench Depth of: 56- /4 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
c~ .
4- rQ +~o /d "
teg~l914
-
Conditi
d-"
~
de
Aggregate Depth: inches above pipe
ons:
•
~
,
?
v
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. 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 speciflnmions 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 he 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
C
Authorized State Agent, Date: / ~ 2®~~
Construction Authorization Expiration Date: 4 z'//.2as 7
HTE# Permit # Z 6-7 10
Harnett Countil Dep-rulment of Public Health
Site slietch
PROPERTY LOCATON:~ o~`r :-A
ISSUED T0: ,44 d SUBDIVISION LOT # 7-7
Authorized State Agent: Date: Z
f
I'7 `t
r
T
t rd `
51
~3e
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: 11W2. l -
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: [3Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:[/Auger Borjng ❑ Pit ❑ Cut
Type of Wastewater: (,Sewage ❑ Industrial Process ❑ Mixed
R
O
P SOIL
F MORPHOLOGY OTHER
I 1940 1941
r _ PRC1FiiFFd(`Tl1Dc
E Position/ V Depth 11
# Slope % (In.)
.1941
Structure/
Texture
•1942
1941 Soil
Consistence Wetness/
Mineralogy Color
.1943
Soil
Depth IN.'
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948'):~f
Available Space .1945) Evaluated By:
System T e(s) S`
d
Site LTAR Others Present:
.1956
Sapro
.1944 Profile
Restr Class
Horiz & LTAR
.F