IPACHTE#,&- -2RA2i Harnett County Department of Public Health
Imurovement Permit 26838
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_5' /y/ Z e rZdJ
ISSUED T SUBDIVISION & LOT #
NEW @( REPAIR ❑ EXPANSION ❑ Site mprovements required prior to Construction Authorization Issuance:
Type of Structure: .5
Proposed Wastewater System Type:
Projected Daily Flow:! GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ZNo
Pump Required: ❑Yes ❑ No 21ae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I ! Public ❑ Well Distance from well feet Permit valid for: 0 Five years
Permit conditions: ❑ No expiration
Authorized State Age rJ Date: 4-6--j-2- SEE ATTACHED SITE SKETCH
The issuance of this permit by 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: r)yuao %?tPROPERTY LOCATION: I2.
SUBDIVISION f7rz L f LOT # 7_
Facility Type: New Expansion D/ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L~( No
Type of Wastewater System** 'ZS`'~/~ C _5~' S"0_ (Initial) Wastewater Flow: 3L0 GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches 2-
Septic Tank Size 1066 gallons Exact length of each trench ZQ Q feet Trench Spacing: c Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4:~ inches
Maximum Trench Depth of:/ 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
Conditions:
Aggregate Depth:
inches below pipe
Z. 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 speciped on the application. I accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dian. DIaL or the intended use changes. The Construction Authorization shall not be 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 ATTACHED SITE SKETCH
Authorized State nt: Date: - ° I -ZConstruction Authorization Expiration Date: `'r- 1"7
HTE # l2° - 2 8~- 2 3 Permit # 2 6 93
Harnett County Department of ilic Health
Site Sketch
)Z 6
siip- /a- PROPERTY LO(ATON: • c{ f Z i.cr:;
ISSUED T0: J1 d-s r ~ SUBDIVISION P LOT #
Authorized State Ag h- Date: "Z-
250/ i,
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IL -
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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 W Code:
ASTEWATER SYSTEM
Owner:
Add
Applicant: , cl
ress:
Proposed Facility
Date Evaluated:
: ij-%
Location of Site:
Design Flow (.1949) y
Property Recorded:
Property Size
Water Supply: EJ ,rublic❑ Individual ❑ Well
Evaluation Method:. ❑ Spnng
Auger Borin
g ❑ Pit ❑
Type of Wastewater: 0-Sewage ❑ Industrial Process
Cut
❑ Mixed
P
R
O
F
I
1940
SOIL MORPHOLOGY
.
L Landscape
.1941
Horizon
PRO]
E Position/
# Slope Z.
Depth .1941
(In, 1941
) Structure) Consist
1 oil
Soil
ence
Texture Mineralo
Wetness/
Color 1
-
0 Z/ /fpgy
f` _6-z-+ SYJ
pl-y0 L- 61,
L t S
d Z~
p
❑ Other
OTHER
fLE FAC
.1943
Soil
SF
0 'Z`i'
~
~r
i
~
3cription
Initial Repair System
Other Factors (.1946
ilable S ace .1945
S stem
11
Site Classification (.1948):?
em T
s)
1
Evaluated By:
LTAR
Of
k °7
Others Present:
.1956 .1944
Profile
Sapro Restr
Class
Class Horiz
& LTAR