IPACHTE#-) -7 ` Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1 PROPERTY LOCATION: L-210 Sz
ISSUED T0: a e e • ,.rc ^ SUBDIVISION _
NEW 0/' REPAIR ❑ , , EXPANSION ❑
Type of Structure: /t'l Y 0215A,~-Z
Proposed Wastewater System Type: 4S ✓te~~c~a e 1 &r-r4,
Projected Daily Flow: r3 6 O GPD
Number of bedrooms: ; ? Number of Occupants: max
Basement ❑Yes L~ No
26930
LOT #
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes L'J No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public /Well Distance from well /00 feet
Permit conditions:
Permit valid for:
0--Five years
❑ No expiration
Authorized State Agent:: ~ 1 ~~1w o.- Date: 4 rl 8 /;t' a r Z SEE ATTACHED SITE SKETCH
The issuance of this permit by th 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 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. ! p
ISSUED T0: 2C) ~~r- t' L . et_ u jyvt PROPERTY LOCATION: 02 E c~ S 3 K
1 SUBDIVISION LOT #
Facility Type: '28 ~X,s a.. e New ❑ Expansion ❑ Repair
Basement? ❑ Yes D No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** .,2S-7tlc- 4,j J; c.A rvJ~^ (Initial) Wastewater Flow: -3(-0 GPD
(See note below, if applicable rr
t v e dvL~F % S~ ~o - (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench 60 _ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. r,24-30 inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: /02- 16 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 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: /under understand the system type specified is different from the type pacified on the application. /accept the s ecilcationr 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 change in ownership of the site. This
Lonstrucnon Authorization is subject to com Ii ce with the provisions of the Laws and Rulessffor Sewage Treatment and Disposal and to the conditions of this permit SEE AIIACHED SITE SKETCH
Authorized State Agent Date: `l ///8 2
Construction Authorization Expiration Date: 8 .2-0/ 7
HTE# /2 8 7oj--
Permit # 91, '0 Q
H(arnett County Department of ub Ica _ e'ailt h
Site Sketch
p / p PROPERTY LOCATON: a/o
ISSUED TO: /lo jor► SUBDIVISION
Authorized State Agent:
z
130
SSl4~,
LOT #
Date: `l Z 6- 12- d/ 2-
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: ` It W
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual dwell
Evaluation Method: [2 Auger B ' g ❑ 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
f V 2a
6 ' (7
l7-(JA
4/C
171-rA Q1
-Yle
74
3
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948
Available S ace (.1945)
Evaluated Byt
System T e(s)
o
Others Present:
Site LTAR