IPACHTE# i~-s=~8s'oq Harnett County Department of Public Health
Improvement Permit 26918
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION: Al C vZ7 W
ISSUED T :
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SUBDIVISION T; u -1 A aJ, LOT # 09
NEW
REPAIR ❑ r ; EXPANSION ❑
-
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
F ~
X 5
4
Proposed Wastewater System Type:
ar d- - 4k,
Projected Daily Flow:
-7 16G
GPD
Number of bedrooms:
3
Number of Occupants:
max
Basement ❑Yes
&2/N
o
Pump Required: ❑Yes
o
E4
❑ be required based on
Ma
final location and elevations of facilities
Type of Water Supply:
F-1 Communi
ty
Public ❑ Well
Distance from well feet Permit valid for: 'Five years
Permit conditions:
❑ No ex
iration
p
Authorized State Agent:: - r ee ff/ Date: 3 "c3 ;Lo t 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 he 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.
ISSUED T0: u.St'.~ )a = ~usel( -'t PROPERTY LOCATION: .A/C- a-? t-J
SUBDIVISION Cf'4y~-~ cv.sf - LOT # 13~
Facility Type: J-E h d New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** oZSY (Initial) Wastewater Flow: 3 6 GPD
(See note below, if applicable Qf
a2 s' X 4 f-l- t- (Repair)
Installation Requirements/Conditions Number of trenches ,3
Septic Tank Size Zoo 0 gallons Exact length of each trench X5`0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: /8- 30 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: 6 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: l understand the system type spec/led is different from the type speciled 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 he transferred when there is a change 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 ATTACHFD SITF SKETCH
Authorized State Agent- Date: Z 7l2-
Construction Authorization Expiration Date: ---?./-2,J a ` / ?
HTE# la- = A 85-" 9
Permit # cZ 1 8
Harnett County Department of Public He(alth
Site Sketch
j _ PROPERTY LOCATON:.'Jc- a ?
ISSUED T0: SUBDIVISION LOT # /-j
Authorized State Agent: Date: 3 /Z."Z--,, 2
X75
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: / l
Proposed Facility: Design Flow (.1949):
Location of Site: ~ Property Recorded:
Water Supply: LEI Public❑ Individual ❑ Well
Evaluation Method:Q Auger Bo ' g ❑ 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
M
neralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
i
Description
Initial
System
Repair S tem
Other Factors (.1946):
Site Classification (.1948)/
Available Space (.1945)
Evaluated By:15,~-
System T e(s)
Others Present:
Site LTAR
y
P