IPACH T E # /Z - 57- WLy,, Harnett County Department of Public Health
Improvement Permit 2 6 81 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:r i /Y°
ISSUED TO: &A AS • L'100 SUBDIVISION ZZ•tt's°' t / LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 p'T
Proposed Wastewater System Tyte:i~Utf2
Projected Daily Flow: r GPD
Number of bedrooms:- Number of Occupants: `max
Basement ❑Yes IJ'No
Pump Required: ❑Yes ❑ No /Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for CT Five years
Permit conditions: r [ e g ❑ No expiration
Authorized State Ag C_ E Date: I 05_ , - SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 t e 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, .19.52, .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: &d'i~yk 6 1542- PROPERTY LOCATION: ~Arz ECa
SUBDIVISION vl 6=/S-eJ LOT # „
Facility Type: ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 21""N o
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable
L~ Z f 13x5 (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size ' 17,60 gallons Exact length of each trench ilno feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 26 -Wf 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: 7_ inches above pipe
Conditions: 4-6 F-1 12.. 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: / 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 subiect to revocation if the site Dian, Dlat, 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 Ag r Date:
Construction Authorization Expiration Date:
HTE# /Z-5-- Zo7-061 Permit # 26~, 0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Z ZI 'y'
ISSUED TO:,J&ge!tSUBDIVISION `''S -I LOT #
Authorized State Ag Date: I
r
~5
Department of Environment; Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: i"23 ?_-1 Z
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: ,Property Recorded:
Water Supply: ElPublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ❑`AugerBoring ❑ Pit ❑ C
ut
Type of Wastewater: 13-sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL, MORPHOLOGY OTHER
I
1940
.
.1941 PROFILE FACTORS
L Landscape Horizon
.1942
E Position/ Depth 1941 .1941 Soil .1943 .1956
# Slope % (In.) Structure! Consistence Wetness!
Soil
.1944 Profile
Sapro
Texture Mineralo Color D th IN. Class
Restr Class
Horiz & LTAR
0
&-ZY L
G' L r p L 1~3`Vnl
1
4
f
Vy.
e
Z
x
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space .1945)
Evaluated By:
System T s)
Others Present:
Site LTAR Fd