IPACHTE# _ Z, s 2,8 k.7,-7 Harnett County Department of Public Health
Improvement Permit 2 6 7 9 4
A building permit cannot be issued with only an Improvement Permit
i
s--
PROPERTY LOCATION: v~ ed-
~
F
ISSUED T~
cw,{-~~vir
SUBDIVISION
b.'.t 7
LOT # /,S0
NEW P
REPAIR ❑ t EXPANSION ❑
Site Improvements required prio
r to Construction Authorization Issuance:
Type of Structure: NS
F 0 5/7 X .7 4 ~
~
Proposed Wastewater System Type: o2s t~ X.J u4= n/ ti
lrer.
Projected Daily Flow: _7 ~ o GPD
Number of bedrooms:
-7 Number of Occupants:
max
Basement ❑Yes
C" No
Pump Required: ❑Yes
f'No ❑ MM
aY be required based on
final location and elevations of facilities
Type of Water Supply:
,
❑ Community 7 Public ❑ Well
Distance from well feet
Permit valid for: E Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: CC Al Date: //9! /Z o/2_ SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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, .1957, .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: X57 -IAC°/
PROPERTY LOCAT N:
SUBDIVISION _~-f_
J
C6~ f" LOT # /-5`J
Facility Type: ..S-F
I~!I New ❑ Expansion ❑
Repair
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
(Initial) Wastewater Flow: 6 G GPD
(See note below, if applicable
o
L s 4 A-4,sE (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 00 G
gallons Exact length of each trench ,r_0
feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a
Soil Cover: - C, inches
Maximum Trench Depth of: -5 & - / 46
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
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (IN(LUDING 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 speciped 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 complian 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: Date: 1-7il.2~42_ _
Construction Authorization Expiration Date: /,711,2 `/7
HTE# A2 -S= 02 8d 333 Permit # nZ `7 2 y
Mar nett County Department of Public He-alth
Site Sketch
/ PROPERTY LOCATON:
ISSUED TO: , 5:7 C-AC./ J a'// SUBDIVISION LOT # /SG
c
Authorized State Agent: Date: ///pCclZ
1
Department of Environment; Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
f Code:
or ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: i~ 7~
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: ~I Property
Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: 0 AugerBfifig ❑ pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
R
O
F
I 1940
SOIL MORPHOLOGY
.1941
OTHER
PROFTT.F. FW
E Positions _
# Slope %
/
Depth
(In,
.1941
Structure/
Texture
•1942
.1941 Soil
Consistence Wetness/
/Mineralo Color
)ry~
V)Cr-/Ij
.1943
Soil
D th IN.
Vz- I C_~~, L/~/7
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available S ace .1945) Evaluated By: 41/-`
S stein T e(s) a Others Present:
Site LTAR C
.1956
Sapro
1944 Pro file
Rest, Class
Horiz & LTAR
5:E
/f 6