IPACHTE#~~- - Harnett County Department of Public Health
Improvement Permit 2 6 8 4 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATI N 5 --s 00
ISSUED T0/ T SUBDIVISION
NEW Da' REPAIR ❑ EXPANSION ❑ LOT #
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~ P i5
Proposed Wastewater System Type: 2- 1ZA& t~ C) J[140)
Projected Daily Flow: S GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 2 No
Pump Required: ❑Yes ❑ No L 4poe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Zve Permit conditions: o c) 7- 6 C- Zt /Z- fno-1 F Permit valid for: years
~ r ` c;-4',444i 29tr5*±9it, 0 No expiration
li.l ji,~ P Pr> ft3.c+ ,A - _ r- -n 1,,,G -..s..,. a,
Authorized State Age • _ Date: 12.. 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, .1957, .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: = Z iA/ICQ PROPERTY LOCATION: 15 SUBDIVISION OT # -
Facility Type: - b COY New ❑/Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 1~ No
Type of Wastewater System** ~ b L) CQ-5~ SE-0 (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches y
Septic Tank Size /066 gallons Exact length of each -trench ?26 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. 2q`/$ inches (Maximum soil cover shall not exceed
Z/ X j~ / "Stk 410 V141VC.S (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
all directions)
Pump Requirements: ft. TDH vs. in GPM
inches below pipe
Aggregate Depth: 2- inches above pipe
Conditions: ~)q ,irsT -o e=R, ~ ~
r'P~ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM W REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type specified is di//erent from the type specified on the app/icmion. / accept the specifications of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use
Construction Authorization is su changes. The Construction Authorization shall not be transferred when
'
6
Date:
le ct to I' comp lance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
is a change m ownership of the site. This
SEE ATTACHED SITE SKETCH
Authorized State Agen
Date:
Construction Authorization Expiration Date: 5- - ` 1°7
PROPERTY LOCATON: i s"~ -~►f~ s /
ISSUED T0: Si'G SUBDIVISION ,/s' LOT #
Authorized State A Date: 1 `2-
10d,
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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:t
Address: Date Evaluated:
Proposed Facility: -54=8 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: [ Public❑ Individual ❑ Well
Evaluation Method: Q-'AugerBor'ng ❑ 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
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo y
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
/l- Z"
A13 A)
Z
® JC.
L
G.~ .+~5ry d 3
71
04h- .19,
Description
Initial
System
Repair System
01assification actors (.1946):
Sit(.1948):
Available Space (.1945)
7
Evaluated B
System T e(s)
.
Others Present:
Site LTAR