IPACHTE# /Z-s =aa y/o Harnett County Department of Public Health
Improvement Permit 2 6 9 0 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W f 1~ (-IClr~ect.
n J
ISSUED Tgt ~`l t
~e.•t tr
o n r~rye fey.n SUBDIVISION JZv, -ter-
LOT # q
NEW [f
REPAIR ❑
, EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S' F ~'3 S3 X 7-Z
Proposed Wastewater System Type: .'L-P g ~'~av`~'•~~.
Projected Daily Flow:
J(-- ®
GPD
Number of bedrooms:
3
Number of Occupants: max
Basement ❑Yes
2"No
i
❑
❑
Pump Requ
red: C es
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:
E Five years
Permit conditions:
❑ No expiration
e!f
Authorized State Agent:: Date: 3 zcr Z SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 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: AdG-A.~' •c. Co.-►C4-
;Uv- PROPERTY LOCATION: F 11 ~vco.t "2d.
SUBDIVISION Jl
LOT #
Facility Type: SF~
V~New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** lp,'p
(Initial) Wastewater Flow: J60 GPD
(See note below, if applicable 21
& '
1~- (Repair)
Installation Requirements/Conditions
Number of trenches !
Septic Tank Size 100 0 gallons
Exact length of each trench oo feet
Trench Spacing: 9 Feet on Center
Pump Tank Size /WO gallons
Trenches shall be installed on contour at a
Soil Cover: ` ~ - inches
Maximum Trench Depth of: /£3- -tQ 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
Conditions: r'E- d✓'c = ~ ° n2 Qk 1 + ►VC' 062
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 speciTcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan. Dlat, or the intended use chanties. The Construction Authorization shall not be transferred when there is a chance in nwnershin of the cite- Thic
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- 'Ir Date: 9//4/2_
Construction Authorization Expiration Date: 2577)--I?
HTE# Z-2ey10 Permit # 1;21 k.91o3
Harnett County Department of 1"ablic Health
Site Sketch
PROPERTY LOCATON: ~Q'_, Lt L_Q1-,X Ad,
ISSUED T0: G n Ccnr ~rvc~ :on SUBDIVISION 5-Zp, LOT #
Authorized State Agent: Date: 3t ~G12-
r
t f 22.r
(0 ff°
l4y b,-: j Lam
Department of Environment; Health and Natural Resources Sheet: I}
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant. f
Address: Date Evaluated 9Z
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:Q Auger Bo d ❑ Spring'
MR Pit
Type of Wastewater: Sew e Industrial Cut
ag Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941 PRO[
L Landscape Horizon 1942
E Position/ Depth 1941 .1941
# Slope % (In) Soil
Structurel
Texture
Consistence Wetness/
Mineralo Color
l f y1 o G Lf
tJi'r/
is 3 s~~ fy
sfff
49 F r`r/~
-7/
-~~dr7"5 s~ ~1,c7
Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): ~f
Evaluated By:
J ~r c Zr Others Present:
F
❑ Other
OTHER
'LE FACTORS
.1943 .1956
Soil Sapro
.1944 I Profile
Restr Class
Horiz & LTAR
ff C
If,.
T_ -5-