IPACHTE# ~a-sra8a;,"7 Harnett County Department of Public Health
Improvement Permit 26796
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO : 7 ` e~ -
ISSUED TO: I a~ -zC- SUBDIVISION ~~t{vr o of LOT # f
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~ `/v2 cf
Proposed Wastewater System Type: D21-f°o ~d '~K -k l
Projected Daily Flow: ~76 6 GPD
Number of bedrooms: ✓ Number of Occupants: C max
Basement ❑Yes 2"N ook
Pump Required: ❑Yes No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: / u-' 6 lefl`U Date: ~2. 1( 2 °l Z SEE ATTACHED SITE SKETCH
The issuance of this permit by th 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 i
nto this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
r
ISSUED T0: I ~c elf ~r C PROPERTY LOCATI N:
g e-~
SUBDIVISION ~~f~P-~r
LOT # /f
Facility Type:
Vd New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
(Initial) Wastewater Flow: 3rn a GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions
Number of trenches -3
Septic Tank Size /00'6 gallons
Exact length of each trench 0 feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: -2 Y-7 inches
Maximum Trench Depth of: -31- - y 0 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: inches above pipe
Conditions: inches total
WATER LINES (IN(LUDING IRRIGATION) MIDST BE ]OFT. 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 Lonstructton Authorization is subject to revocation it the site plan, plat, or the intended use changes. the Lonstruction Authorization shall not be transferred when there is a change to ownership of the site. This
Construction Authorization is subject to comAnce with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKtILH
Authorized State Agent• w0.:a., Date: -Z /54-, ~1z
Construction Authorization Expiration Date: 2 ~~17
HTE # /-2 -r- oZ ZS Xk. Permit # b? 7 ~
arliett County Department of ll~tblic - e(a t h
Site Sketch
PROPERTY LOCATON:
ISSUED T0:-t-c_a.c I /~ts'dJ~ef Ic- SUBDIVISION a LOT #
Authorized State Agent: Lew Date: C--l.)AA cq-
r
!sG
c5-8
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:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: En Public❑ Individual ❑ Well
Evaluation Method:[/Auger Bo ng ❑ Pit ❑ Cut
Type of Wastewater: Q Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape Horizon
Position/ Depth
Slope % (In.)
SOIL MORPHOLOGY
.1941
.1941 .1941
Structure/ Consistence
Texture Mineralo
OTHER
PROFILE FACTORS
.1942
Soil .1943 .1956
Wetness/
Color D th1IN. Class
rofile .1944
Restr estr Class
Horiz & LTAR
cl~
C fC,
410L
fQ
Description
Available Space .1945)
System T e(s)
Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):)
Evaluated By:~J,
d o Others Present: