IPACHTE# %o2-S =~2gS-37 Harnett County Department of Public Health
Imarovement Permit 26926
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: CyPr~J t
-
ISSUED T0: W + l~ • c>,~ t vary l v3 aSY: n5
SUBDIVISION
T
LOT #
NEW REPAIR ❑ EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: P'l .c ~-1 f
Proposed Wastewater System Type: L~e - ~a S~7v X,
4;-
-Projected Daily Flow: (7 GPD
Number of bedrooms: 3 Number of Occupants: S°
_max
Basement ❑Yes~ No
P
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❑ N
❑ b
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Type of Water Supply: El Community
Public ❑ Well
Distance from well feet Permit valid for:
E' -Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: l 2,~ yC 4-C V Date: !j 410 / a °i 2 SEE ATTACHED SITE SKETCH
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 he met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0:' ro. ►~o n ~v5ca1't;.ti PROPERTY LOCATION: C tIFO~'e111
SUBDIVISION T LOT #
Facility Type: f d ,,L7t X '7 ~6 New ❑ Expansion ❑ Repair
Basement? ❑ Yes Cg,*" No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ,Red u 4:..,c ..-~,I/ (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable 01 _
I ~-k ' (Repair)
Installation Requirements/Conditions Number of trenches C9
Septic Tank Size vQ 0 gallons Exact length of each trench -5-0 feet Trench Spacing: c/ Feet on Center
Pump Tank Size /000 gallons Trenches shall be installed on contour at a Soil Cover: 6-8 inches
Maximum Trench Depth of. / e - Z 0 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
inches above pipe
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 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 chanties. The Construction Authorization shall not be transferred when there is a chanoe in ownershin of rho city This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules JforrSewage Treatment and Disposal and to the conditions of this permit ltt Al IAIHtU N1 It AtILH
Authorized State Agent: Date: v /,V / 2- _
Construction Authorization Expiration Date: to°/?
2~rcr
4 + 4 ,rc I-
~I
c Y jrflf ed.
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:/ Z
Address: Date Evaluated: _7)Z t_lz-a
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: CI Public❑ 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
Io
F
I
.1940
SOIL MORPHOLOGY
.1941
OTHER
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
f
b - 2
~✓~//t/~
or q
22,;0
Description Initial Repair System Other Factors (.1946):
System
Site Classification (.1948):~f
Available Space(. 1945)
Evaluated By:
f*^-
System T e(s)
POI J_
Z o- a
9
Others Present: C)1'
Site LTAR
J