IPACHTE# /x`57-27z~ Harnett County Department of Public Health
Imarovement Permit 26818
A building permit cannot be issued with only an Improvement Permit ~p
PROPERTY LOCATION:`5(-2~-2 I S
ISSUED TO: /1 C to 'f't) SUBDIVISION Q 6 r LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ssrZ L~ 5
Projected Daily Flow: b GPD
Number of bedrooms: Number of Occupants: ;9 max
0-4
Basement ❑Yes
No ~
Pump Required: ❑Yes ❑ No 12"Ma a required based on final location and elevations of facilities /
Type of Water Supply: ❑ Community Imo" Public ❑ Well Distance from well feet Permit valid for. 2- ive years
Permit conditions: ❑ No expiration
Authorized State t:: Date: 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 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 T0: ~ ? PROPERTY LOCATION:
_ SUBDIVISION 0 U IV/ LOT # _
nsion ❑ Repair
Facility Type: 1~ New AN Expa
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Type of Wastewater System** Z`a °Cd 1 0 / ~s 12~7-- (Initial) Wastewater Flow: GPD
(See note below, if applicable
2~°~`x f
0 LO-WO 5:* 5'/-~ (Repair)
Installation Requirements/Conditions Number of trenches°
Septic Tank Size f Z0L> gallons Exact length of each trench i'YZI feet Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: g(e_ inches
Maximum Trench Depth of. Z& -7 1* 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: Z inches above pipe
Conditions: - - `Z- inches total
41 r r-y
4 Q}
**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 change in ownership of the site. This
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
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. )tt AI IALlitD SITE SKETCH
Authorized State A 14'~ Date:
Construction Authorization Expiration Date: r
HTE# 26-~ Permit # , 2Lws
Harnett County Department of iblic Health
Site Sketch
PROPERTY LOCATONJr7t 'ZU5-
ISSUED TO: ~a SUBDIVISION a0 4/fi"i LOT #
Authorized State A 2 Date:
(mow
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: I - Z37L
Proposed Facility: Design Flow (.1949): _w6&b
Location of Site: Property Recorded:
Water Supply: [3'fublic❑ Individual ❑ Well
Evaluation Method:DAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑-'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
1940
L
d
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
an
scape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
1
L~3`u
v Iz
A-
17-
A
z
Z-
IS lr
~r s
1 ~
~
`~vkr2
~l'
r
o J3
L*1 t t
~C.,
4~..~~.7 d V
J-7
.5L, al
a^
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By:
System T e(s)"yz 1
Site LTAR Others Present:
r