IPACHTE# / Z - s®-1~ y Z Harnett County Department of Public Health
Improvement Permit 26831
A building permit cannot be issued with only an Improvement Permit
- PROPERTY LOCATION; i12/h3tJ'~
ISSUED TO,/ S~P_ j dE s'" SUBDIVISION LOT #
NEW Lf5 REPAIR ❑ XPANSION ❑
Type of Structure: F6
Proposed Wastewater System Type: ZS°,/r_, Z6i)U7~
Projected Daily Flow: 3 ( GPD
Number of bedrooms: Number of Occupants: ~c max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community V Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
0 Five years
❑ No expiration
Authorized State Age dl Date: 3- z -rz - SEE ATTACHED SITE SKETCH T
The issuance of this permit by a 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, .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.
S
~
ISSUED TO: 5 S PROPERTY LOCATION: I1 b~ et T
SUBDIVISION LOT #
Facility Type: ~F! VNew Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Zo
Type of Wastewater System** 1,5% & -S, (Initial) Wastewater Flow: 0 10 GPD
(See note below, if applicable
Z6'17 .mac' (Repair)
Installation Requirements/Conditions Number trenches
Septic Tank Size -/,046 gallons Exact length of each trench 7c) feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: OLI inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
' inches above pipe
/Z- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 fonstruction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The fonstruction Authorization shall not be transferred when there is a chance in ownershin of the aitp This
fonstruction 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 A nt: _ Date: 5®(„ °Z.
Construction Authorization Expiration Date: 3 ~C~ =-/7--
HTE# -5-- ZRO2
ISSUED T0:
Authorized
Permit # 26 8-5
f
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 f
Address: AA_ Date Evaluated: 34 Lf -1 r-/(
Proposed Facility:& Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ~blic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ 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
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
i
L iJ
0-3G
SC
~ '
y-Yf~
U
5
3
L
6- 36
T L
6n1.jjt1
56 IW3
-A,
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space (.1945)
Evaluated By:
System T e(s)
°z -
Others Present:
Site LTAR
✓