IPACHTE# /a-j- 48U t Harnett County Department of Public Health
Improvement Permit 26943
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
~
ISSUED T0: `P V
A^ SUBDIVISION %+^U~``~ ~r R;~G e
LOT #
NEW 2 T
REPAIR ❑
r EXPANSION ❑ Site Improvements required prior to Construction Authori
zation Issuance:
Type of Structure: ~ -F.b Z
Z V7
Proposed Wastewater System Type: cZ5
Projected Daily Flow:
3643
GPD
Number of bedrooms:
3
Number of Occupants: max
Basement ❑Yes
Cho
❑
2
ili
fi
l l
i
d
l
i
f f
i
❑
b
i
d b
d
Pump Required:
Yes
No
on
ocat
on an
e
evat
ons o
ac
t
es
May
e requ
re
ase
na
Type of Water Supply:
❑ Community
Public ❑ Well Distance from well feet Permit valid for:
Cave years
Permit conditions:
❑ No expiration
Authorized State Agent:: 6 Zc t ~ Q/~ o. ~ Z r-Iff Date: 6 / G 4 2-c /Z- SEE ATTACHED SITE SKETCH
The issuance of this permit by t Htse 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.
ISSUED TO: 1/n.,f Co 11 r-4 -u c ov► PROPERTY LOCATION: ~e, C r
SUBDIVISION zz~~Y I~':d~ e LOT # '1J-
Facility Type: 01"New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** cz S~v Aea1., 4 :111 ,l(Initial) Wastewater Flow: 9(z 0 GPD
(See note below, if applicable /
'2,s- y 5i(Repair)
Installation Requirements/Conditions Number of trenches J-
Septic Tank Size 1y0 0 gallons Exact length of each trench G ~ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 6 _z inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If ap_plicable: l understand the system type specified is different from the type specified on the application. l 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. 3tt All IAL11CU 3I1t MIIM
Authorized State Agent: Date: 6 X Xz"' / z
Construction Authorization Expiration Date: e A V 7
HTE# /,2-r ~Z 8 9 4 1 Permit #
Harnett County Departnieut of Public Health
Site ketch
PROPERTY LOCATION: -pt ,,-"r
ISSUED TO: /I n c A .7✓ u c acv, SUBDIVISION 7~iy ffe ~ C c~ LOT #
c (6 (zclZ
Authorized State Agent: Date: 6
a
t v~
NO
~L13
Wol,.re LA-
Department of Environment; Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated: G //Z, ol 2-
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Eigage 'c❑ Individual ❑ Well
B❑ Spring
Evaluation Method: /Augero/
Type of Wastewater: ❑ pit ❑ Cut
❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941
L Landscape Horizon PROF
E Position/ Depth .1941 .1942
1941 Soil
# Slope% (In.) Structure/ Consistence Wetness/
Textturea / Mineralo Color I
LTAR
Repair System Other Factors (.1946):
Site Classification (.1948): ~f
Evaluated By:
Others Present:
❑ Other
OTHER
ILE FAC
.1943
Soil
.1956 Eest~r Profile
5apro Class
Class & LTAR
~ , I'
IJ.