IPACHTE# / ZI Harnett County Department of Public Health
Improvement Permit 2 7 0 0 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ILAI `7 )04-4 5
/
ISSUED TO: A' I-1-L SUBDIVISION '4 5~nr~ C i2ca a LOT # j NEW REPAIR El EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .5 F-6
Proposed Wastewater System Type: Ztj]~ltt
Projected Daily Flow: - 3 -GPD
Number of bedrooms: Number of Occupants: _(g2 max 1-73 Basement ❑Yes No /
Pump Required: ❑Yes ❑ No Z Ma a required based on final location and elevations of facilities ,
Type of Water Supply: ❑ Community L!1 Public ❑ Well Distance from well feet Permit valid for: 12-Five years
Permit conditions: ❑ No expiration
Authorized State Ag I-Y"JA Date: & Ai-- 12- 2- SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 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 into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: I aL PROPERTY LOCATION: c~ 1-/Y'7 l <f
~SUBDIVISION I/La. ~v jz-" Gaza a-&- LOT # 13
1 Facility Type: IV New Expansion ❑ epair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2% o
Type of Wastewater System** `la 12-- " 0 c4_4P - - (Initial) Wastewater flow: c 9 GPD
(See note below, if applicable
2 94-b C.t~ ir)
Installation Requirements/Conditions Umhar of tranrhPt
Septic Tank Size / 00 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench /00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: -ches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
12- 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: / understand the system type speciled is different from the type speciled 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 changes. The Construction Authorization shall not be transferred when there is a change 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. Xt Al IAML) 311t MlLn
Authorized State Age Date: ° / Z
Construction Authorization Expiration Date: 6;, y- 5 ° e
HTE# 2-° ' i- Q0 J Permit # Z 7 DO L
Harnett County Department of iblic Health
Site Sketch
caj C-
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: 6 E-
Proposed Facility: Design Flow (.1949): 13
Location of Site: Property Recorded:
Water Supply: ['j Public❑ Individual ❑ Well
Evaluation Methodda' Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Ey Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
r
R
0
F
I
L
E
#
!
OIL MORPHOLOGY
.1940 .1941
Landscape Horizon
Position/ Depth .1941 .1941
Slope % (In.) Structure/ Consistence
Texture Mineralogy
s/y 0 L 5L {x- E7 rZ N5,3 P
5
THER
PROFILE FACTORS
1942
Soil .1943 1956
Wetness/
Color _.Depth IIN. Class
1944
Hoririz
rofile
Class
& LTAR
'f
756
46 Z-C p
Y~y
v ,'7.'x1
3Zc
r
C 5 d -3a
L
6 ~L N~ ~ 3Sss~'
r
el 'fe✓`~
361
4
9!e tj l y
~ t=~L 1~0~ 75Jr5~
56
~ 6 E2 >~5n1 ~ 5ssn
3-5-
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):
945) Evaluated By:
AvaMLTAR
S stOthers Present:
S
ite