IPACHTE#Harnett County Department of Public Health
Improvement Permit 2 6 9 8 6
A building permit cannot be issued with only an II rovement Permit
tt^^ PROPERTY LOCATION: W 1ox-, Q'0
ISSUED T0: c~A~fdy )Aacni~S LL C- SUBDIVISION _KEr,-Lp„4 V-WLr,,s LOT #
NEW,K REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF-D t5r<,~nt-s3"
Proposed Wastewater System Type: ado 9.6.Sw C: W 4 N S y5'~ ~t
Projected Daily Flow: LAN 0 GPD
Number of bedrooms: Ll Number of Occupants: 11~8 max
Basement ❑Yes "No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \ O a feet Permit valid for: ive years
Permit conditions: ❑ o expiration
Authorized State Agent:: Date: 111, SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua f.44t~hher permits. The permit holder is res onsible 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 Improvemeftia!%rmit 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: S P~rv~l \A) LL,G PROPERTY LOCATION: ti,1~CZE 'I? P
SUBDIVISION ~~GtyLAN FF1 2cc~5 LOT # k3
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes -~4< No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** a.S °l. V-~, 6ov 0%0 N -~5 Tr--m (Initial) Wastewater Flow: dig d GPD
(See note below, if applicable
-010 9-C-Z ~U 1 nN S ys T CM (Repair)
Installation Requirements/Conditions Number of trenches L'
Septic Tank Size 1 000 gallons Exact length of each trench feet Trench Spacing:
Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: SVIE:c-l 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 speci
fled is different from the type specified on the application. /accept the s eci6catioos o/thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is su ' cation 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
Construction Authorization is subject compliance wR onse Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: V Q-t-.-,ra~ Date:
Co tion Authorization Expiration Date: ft
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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 Code:
for ON-SITE" WAST
EWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L~ 9 C~(2 c c~ , ~ Design Flow (.1949) L),~ o, ~ Property Size:
Location of Site: Property Recorded:
Water Supply. ublic❑ Individual ❑ Well
Evaluation Methoc:[~AugerBon g ❑ Spring
Type of Wastewat ❑ pit ❑ Cut
Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941
L Landscape Horizon PROF
E Position/ Depth 1941 .1942
# Slope % 1941 Soil
Structure/ Consistence wetness/
Texture Mineralo Color I
C,
L Lo I ~_j -5-9 ~ _C~ - P-1 %I
ription Initial Repair System Other Factors (.1946):
S s m Site Classification (.1948): e 5
ible S acE.1945)Ej
E
valuated By:
n T s) 5`` lc- alL.
TAR Others Present:
❑ Other
OTHER
`LE FAC
.1943
Soil
.1956
Sapro
.1944 Prole
Restr Class
Koriz & LTAR