IPACHTE#/Z- :S-" 26-? Harnett County Department of Public Health
Improvement Permit 26841
A building permit cannot be issued with only an Improvement Permit
fa - L' D PROPERTY LOCATIO z Aj 6' ~6r 6-11 C~ P~
ISSUED TO Aa - 1 , SUBDIVISION .7 le 77- - LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements requj ed prior to Construction Authorization Issuance:
al
Type of Structure:
Proposed Wastewater System Type: Z`~%a i~tl
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ldYes ❑ No LEI M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public Well Distance from well feet Permit valid for FPermit conditions: Z-F 6%1?~ i 4; ,d7-h"l cl AAe-,Pe t V rJ ❑ No expiration
15 >Zr- earl ;
Authorized State Ag t:: - - Date: `1 I(a " / L.- SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth 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 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, .1951, .1958. and .1959 are incorporated by references in
to this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
\
ISSUED T0: /110 PROPERTY LOCATION: 37Q-)
.
A) A
SUBDIVISION ✓ ~J LOT #
'
Facility Type:
Ld
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes C"No
Type of Wastewater System
h~-
(Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
epair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench feet
Trench Spacing: Feet on Center
Pump Tank Size /-Do gallons Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: -714,1 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
(,0 inches below pipe
Aggregate Depth: 7- inches above pipe
Conditions: F S ~-O,, 3 Q) 1-0 7-,1-,0(y- " 5 OV
u, /2- 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 speciped is different from the type specified on the application. / accept the speciTcations 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. / Jtt AI IALHtD Sift SKETCH
Authorized State ent Date: Ll -1(b ° /2-
Construction Authorization Expiration Date: 7
HTE# 2869.7 Permit # Z (11 Y 1
Harnett County Department of 1"tiblic Health
Site Sketch
I-- PROPERTY LOCATON: %762
ISSUED TO: SUBDIVISION LOT #
Authorized State Ag G. Date:
k
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N
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N
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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
Owner: Applicant: X60 DA-5'.
Address: Date Evaluated: ' z-'-1
Proposed Facility: vv3 Design Flow (.1949): X0
Location of Site: Property Recorded:
Water Supply: [3' ublic❑ Individual ❑ Well
Evaluation Method: Q Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
c
L,' 4
L'-/G3
a t, - 5 L-
16L bz'J3Np
Ill q2-
Sc - Eta
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1 01
7~yYC
C
p l L
JL L tyt•.~
6k ASS' i9
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5t.--Cr
i w jti"D Ls t~.
CjG`~ 7 y~
y
L
5L
(;L- 611 A)SbJP
i1`10
&r_
L
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SL
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3 5
r
5-if
10-1f7-
54-.-c~
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): I~
Available Space (.1945)
Evaluated By:
System T e(s)
2 'tel.
Z
Others Present:
t:
Site LTAR