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_ Harnett County Department of Public Health
Improvement Permit 26822
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 7x 14111 V1 C 4k
ISSUED TO. LrC SUBDIVISION e!L5b LOT #
NEW E REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: h A U 1
Proposed Wastewater System Type:
,-~:~-tom
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: _ max
Basement ❑Yes No
Pump Required: C1es ❑ No ❑ May k required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z ""'Public ❑ Well Distance from well feet Permit valid for: five years
Permit conditions: ❑ No expiration
Authorized State Age `t Date: 'z - 7 - 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 i 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: 4716.7
G Z
PROPERTY LOCATION:
11 i21
d r4
F
ili
T
720
1
SUBDIVISION
-
LOT # 7
ac
ty
ype: ,
a--
L
New
❑ Expansion ❑ Repair
Basement? ❑ Yes No
Basement
~
Fixtures? ❑ Yes E; o
Type of Wastewater System**
_
(Initial) Wastewater Flow: Y' GPD
(See note below, if applicable
~
Z5% rzz- )o Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size QQ
gallons
Exact length of each trench 96, feet
Trench Spacing: _ Feet on Center
Pump Tank Size 042 6
gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of. 2j->19 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:
4 inches below pipe
Aggregate Depth: inches above pipe
Z 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
tonstruction 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 nt: Date: - `7
Construction Authorization Expiration Date. Z --7 - J ,Z
HTE# /Z -'5-- Z-6Z55"Z Permit # 260 0 Z- Z-
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Zf744 &12 Jam/ ClMc_ Ai~G I J~
ISSUED TO: (",47-~ SUBDIVISION en, LOT #
Authorized State A nt: Date: 6
Occ 4
Z. L /
ZY
r ~s ~j HARNETT COUNTY ENVIROMENTAL HEALTH
SITE PREPARATION
Harnett
C o u rv T y HOW TO PROPERLY MARK PROPERTY FOR SOIL EVALUATION
NORTH CAROLINA
strong roots new growth n
Pink Flag, -;7 Iron Iron : -„Pink Flag
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Department of Environment; Health and Natural Resources
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE WA Code:
STEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facilit
:
Date Evaluated:- .A
~ ?
y
Location of Site: ~
Design Flow(. 1949):~s6-~
P
o
`
Property Size:
Water Supply: Public
E
l
r
perty Recorded.
❑ Individual ❑ Well
❑ Sprin
va
uation Method: Auger Bori
❑ Pit
g
❑ Cut
Type of Wastewater:
ewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL, MORPHOLOGY
1 .1940
L Landscape Horizon
.1941
PROF
E Position/ Depth 1941
# Slope % 1941
)
Structu
/
Soil
.1942
Soil
.
re
Texture
Consistence
Mineralo
Wetness/
Color
I
y*
J
a~
tl i_
"a
l
5L
r
I t
F
13
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,
...r~..,.. imtial Repair System Other Factors (.1946):
S stem/ " Site Classification (.1948): T25
Eflable S ace .1945) s) Evaluated By:
LTAR~ Others Present:
❑ Other
OTHER
ILE FAC
.1943
Soil
1956 .1944 I Profile
Sapro Restr Class
Class Horiz & LTAR -73
8
'35-