IPACHTE#/ -5-- ZgS"05~ Harnett County Department of Public Health
Improvement Permit 26837
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION
ISSUED TO r ~ SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ,S
Proposed Wastewater System Type: ,6 Z5 rg LU
Projected Daily Flow: 3672 GPD
Number of bedrooms: I- Number of Occupants: max
Basement ❑Y; / - No
Pump Required: 1!7Yes ❑ No ❑;M,oe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IQ Public ❑ Well Distance from well feet Permit valid for: Z Five years
Permit conditions: ❑ No expiration
Authorized State Ag Date: K -3 --1 Z. SEE ATTACHED SITE SKETCH
The issuance of this permit the ealth 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 a 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.
(See note below, if applicable
M 257% (Repair)
Installation Requirements/Conditions Number of trenches Z-
Septic Tank Size / gallons Exact length of each trench / Z D feet
Pump Tank Size 6 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: !v inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: Z inches above pipe
inches total
'Z Z- 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 app/ication. / accept the specif1cat1ons 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 chantte in ownership of the site. This
lonstructson 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. Stt AI IACHtU SITE SKETCH
Authorized State t: Date: `f°5•-t 2
Construction Authorization Expiration Date: Lf 3 -,'T
HTE# dZ° A375'° Permit # 26 S 5 7
Harnett County Department of ublic Health
Site Sketch
/ PROPERTY LOCATON:,t/yz
ISSUED TO: ®f i SUBDIVISION LOT #
Authorized State Age Date: + 'Z.,_
4
X12 1 Lf 2:
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 WASTEWAT Code:
ER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: j -
Design Flow (.1949): i"% C-)
Location of Site:
Property Size:
Water Supply: ,.~,~-Pr°pettY Recorded:
ETPublic❑ I
di
i
n
v
dual ❑ Well ❑ Spring
Evaluation Method:[] Auger Boring El Pit
❑ Cut
Type of Wastewater:
❑ Sewage ❑ Industrial Process
❑ Mixed
P
R
O
F
L .1940 SOIL MORPHOLOGY
.1941
L Landscape Horizon
PROF
E Position/ Depth 1941
# Slope % (in.) Structure/ 1941
.1942
Soil
Consistence
Texture Mineralo
Wetness/
Color
71 St_ /
L
L /-Zp v
CND
0~ fr
6A
Description Initial
4p' tI
~isG1 rG
u ~ >p
ZO lr
[ "t.a
i3~
11_
a
Repair System Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
P
❑ Other
OTHER
[LE FAC
1943
Soil
1956
Sapro
.1944 Profile
Restr Class
Horiz & LTAR
a Y
,7-
r
4