IPACHTE# lo2'S=,Z 8e230 Harnett County Department of Public Health
Improvement Permit 26793
A building permit cannot be issued with only an Improvement Permit
nn _ PROPERTY LOCATION: 7-" v -A- 4.
ISSUED TO: r,"AIV & H SUBDIVISION A +'ItJ- f, ~ 'J LOT # _1,V2
NEW L" REPAIR EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: tic 11 srx,-A
Proposed Wastewater System Type: flZ Xe4.,c+=v 1 SyJ~e,, _
Projected Daily Flow: ~3 o GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Ao
Pump Required: ❑Yes I6lo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E;~'IPublic ❑ Well Distance from well feet Permit valid for: wive years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~~~o-- e ttl Date: / Z2//2~lZ SEE ATTACHED SITE SKETCH
The issuance of this permit by RHealth 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: iJ r Q",\ 15" 14 1:-, ~ PROPERTY LOCATION:
SUBDIVISION &f- f f LOT # I
Facility Type: -5-r D New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 5-yu k, -k 4:-n L rl,,,(Initial) Wastewater Flow: -3 6 G GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size /M o gallons Exact length of each trench -7j- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 3 1,-" Y8 inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: C/ Feet on Center
Soil Cover: ,/8 -mot- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
*If applicable: /understand the system type specifed is different from the type specified on the application. / accept the specipcations 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. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1 .2- G~
Construction Authorization Expiration Date: 7 / zcl
H T E # Zel- S= a 8 X13 0 Permit # K b'~ 4 J
H(arnett County De pailment of Public llealth
Site Sketch
PROPERTY LOCATON: yQl Rco•
ISSUED T0: r0. Ie~ SUBDIVISION- LOT # /SAP
Authorized State Agent: acs.:.. f/f Date: a C/ Z
/03
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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:
1
.Zoe
Address: Date Evaluated: 19)41:-7
Proposed Facility: Design Flow (.19 Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger B 'ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
SOIL MORPHOLOGY
OTHER
L
.
Landscape
Horizon
1941
PROFILE FACTORS
E
#
Position/
Slope %
Depth
(In.
1941
Structure/
.1941
Consistence
.1942
Soil
.1943 .1956
Wetness/
.1944 Profile
Texture
Minerato
Soil
Color Sapro
D th IN. Class
Restr Class
lU
/
G= Z U
C-
Horiz & LTAR
c--
v rU ~ P
G
~/✓/O
G
Description
Initial
Repair System Other Factors (.1946):
Available S ace .1945)
S stem
Site Classification (.1948): s°
T
s)
Evaluated By:
Y• Qr
Site LTAR
Others Present: