IPACHTE# A8 yes' Harnett County Department of Public Health
Improvement Permit 26913
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: t Zd.
ISSUED TO 9 n t 46u; I d ~ rj- SUBDIVISION f ~O t O-C LOT # 7
NEW 7t REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: <S•f'~ -I0 l( 47
Proposed Wastewater System Type:2 S 7. ,fCcd u c
Projected Daily flow: '6'6 GPD
Number of bedrooms: ~ Number of Occupants: max
Basement ❑Yes Ls No
Pump Required: ❑Yes L m
No ❑ Ma be required based on final location and elevations of facilities Z'-Five
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: years
Permit conditions: ❑ No expiration
Authorized State Agent:: VV °'"t'°"' Date: l 9 2 d! z SEE ATTACHED SITE SKETCH
The issuance of this permit by eYh 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: S a A Aa~'~~; A,f PROPERTY LOCATION: D1. 'r--J /a
SUBDIVISION / 1-1-illy- 112, d ~ LOT # 9 ~
Facility Type: Lt5^-r 25 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** a 57 Zu )eel uSf(Initial) Wastewater Flow: GPD
(See note below, if applicable
a-r 7. u 4. t~/I tG (Repair)
Installation Requirements/Conditions Number of trenches 10-
Septic Tank Size 000 gallons Exact length of each trench /®U feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. JG - /6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: /g ° inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: S-~ o r Cl ~c11 CJ '_5 t 9 ;.1c~_ao S^~~'0 c(~ ttg!w y6-
~ eeol eat
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l 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 chance 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
C
Authorized State Agent: o-~ 5#f Date: / laZ
Construction Authorization Expiration Date: 7119 dC' / 7
NTE#
Permit # a ~.5 0
Harnett County Department of iblic e'alt h
Site ketch
PROPERTY LOLATON:°~ r r~~
ISSUED TO: ;y ✓I ~A";r or e 14 e f SUBDIVISION ~c.4 y~c LOT # rl .2-
Authorized State Agent: w cam( rl~f Date: .3 <r1 /-Z a/ Z
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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
Sheet:
Property ID:
Lot
File
Code:
Owner; Applicant:
Address: Date Evaluated: ;)V401-
Proposed Facility: Design Flow (.1949); Property Size:
Location of Site: Property Recorded:
Water Supply: Q-fublic❑ Individual ❑ Well
Evaluation Method:EJ AugerBor g El Pit ❑ Sprang
Type of Wastewater: ❑ Cut
Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941
L Landscape Horizon PROI
E Position/ Depth .1941 .
# Slope % (In. .1941 Soil
Soil
Structure/ Consistence Wetness/
Texture Mineralo Color 1
l~ 77, VKiV~
^a I U12-- I v~1
Description
L
in Other Factors (.1946):
Site Classification (.1948):1•
Evaluated By.,fi
Others Present:
❑ Other
OTHER
LE FAC
.1943
Soil
.1956
.1944 Profile
Restr Class
Horiz & LTAR
r-,g
j r