IPACHTE# --c Harnett County Department of Public Health
Improvement Permit 2 7 01 3
A building permit cannot be issued with only an Improvement
p ^ ~r PROPERTY LOCATION: l313 ;t~ /Z6
ISSUED TO V f~ L~ SUBDIVISION LOT #
NEW E!~ REPAIR ❑ EXPANSION ❑ 44
Type of Structure: Sim
Proposed Wastewater System Type: ZS'~lo S/?b U 'O
Projected Daily Flow: -ZVO 6 GPD
Number of bedrooms: Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes No
Pump Required: ❑Yes ❑ No LT Mae required based on final location and elevations of facilities ,
Type of Water Supply: ❑ Community LJ Public ❑ Well Distance from well feet Permit valid for: Mive years
Permit conditions: ❑ No expiration
Authorized State Age4::~ a C / ( ' Date: & IT", t -L- SEE ATTACHED SITE SKETCH
The issuance of this permit boe 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, .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 V4- PROPERTY LOCATION: i 17'~
SUBDIVISION LOT #
Facility Type: 1J1 New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes AND
Type of Wastewater System** 2'sy/u Eg!bq Z;~ (Initial) Wastewater Flow: 34o0 GPD
(See note below, if applicable
Z-w*
' '2a i- S's" (Repair)
Installation Requirements/Conditions Number of trench(s Z
Septic Tank Size %QQ Z) gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: 9 Feet on Center
Soil Cover: - inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions:
IL)
inches below pipe
2,.- inches above pipe
Z. 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 specified is different from the type speciTed on the application. / accept the specidcationr 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
Lonstruction 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 SEE ATTACHED SITE SKETCH
Authorized State Age Date: 1 2-
61 Authorization Expiration Date:
15~- t
HTE# j*Z-° 5-° 2150 i1, Permit # Z7tl 13
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: /7 3 L2tem- 1
ISSUED T0: SUBDIVISION LOT #
Authorized State Age~°~~ Date:- C G
6
It- te~
b
~T
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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:
Address: Date Evaluated: L `lt %3 if <Z
Proposed Facility: 5f-b- Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Q`Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 13 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
l
Z'D
o- l $
Sz
t-Al-?w
I i%-
7h
0
- 2
,
32
5C e
ry-
6 ~3y,,
3
L_.
^l
4
L A-,~3
i✓ A[
f
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space (.1945)
Evaluated By:
System T e(s)
LOP ' ;
Others Present:
Site LTAR