IPACHTE# u -s z 0 Harnett County Department of Public Health
Improvement Permit 26819
A building permit cannot be issued with only an Improvement Permit
tt _ PROPERTY LOCATIONOZ~27i5-/6WZQ- 120
ISSUED ~TO/ /ZC SUBDIVISION tP LOT #
NEW I REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: :5 QJ
Proposed Wastewater System Type: Z 5'4
Projected Daily Flow: 4 60 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes E40
Pump Required: ❑Yes ❑ No 0'M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 public El Well Distance from well feet Permit valid for: 2--ive years
Permit conditions: ❑ No expiration
Authorized State A e° Date: j' 4-,-12- SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 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, .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: &Z -7~
C_ PROPERTY LOCATION: I)t 2-71-6- / A~_
SUBDIVISION LAS- i LOT # Z;
Facility Type: New ~Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L!( No
Type of Wastewater System** . Ala Ft-) i,) (Initial) Wastewater Flow: ~ GPD
(See note below, if applicable
2 ~a 678-~~ Zjl+~3 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 9 7,,'>0 gallons Exact length of each trench i00 feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4;9;~ inches
Maximum Trench Depth of: Z b'' 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: /tr inches total
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.
**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
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. Jtt Al IALHtU Mlt SKtILH
Authorized State ent: Date: 2.& u-/ Z
Construction Authorization Expiration Date: 1-2-(o-17
HTE# ' 2920'2 Permit # Zzi0/! '
Harnett County Department of Public Health
Site Sketch
I I-j^
41
80
e
Department of Environment; Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot
SOIUSITE EVALUATION
File
for ON-SITE" WASTEWATER SYSTEM
Code:
Owner: Applicant:
Address: Date Evaluated: ZC?y t 2
Proposed Facility: Design Flow (.1949): yt-a?
Location of Site:
Property Size:
Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method: ❑ Spring ❑ Other
0' Auger Bori
ng ❑ Pit ❑
Type of Wastewater: 0-Sewage ❑ Industrial Process
Cut
❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I
1940
OTHER
.
.1941
L Landscape Horizon
PROFILE FACTORS
E Position/ Depth 1941
# Slope % (in.) 1941
. Structure) Consiste
c
.1942
Soil 1943
n
e
Texture Mineralo
Wetness/ Soil
Color
D th IN.
3t,
z L - y~ v - 5L r~s~
~6,t N5vw P
L- Ire, 1 szm ,,j ~F Z -7` l
~l L Z Y
Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):
Evaluated By:
' Others Present:
it 2Sr - U
.1956 .1944 I Profile
Sapro Rest, Class
Class Horiz & LTAR
,3`5 1-
s