IPACHTE# 88e~ Harnett County Department of Public Health
Wrovement Permit 2 71 01
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: /L 4k SUBDIVISION LOT #
NEW B' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: # a y X(rO
Proposed Wastewater System Type: okf-/'d c~uc{'cry rvl~~
Projected Daily Flow: 560 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 21o~
Pump Required: ❑Yes I~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public QrWeII Distance from well / o feet Permit valid for:
Permit conditions:
2-rive years
❑ No expiration
Authorized State Agent:: //.,u~ "Ccy Date: 4' 12-4 °~Z 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, .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 T0: 141 PROPERTY LOCATION: C~°Pcl~~-
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 0'r. Xell t'JL%", (Initial) Wastewater Flow: 6 n GPD
(See note below, if applicable ~J
'rl. /L-4 4- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /000 gallons Exact length of each trench f o d 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: 18 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
/ j Aggregate Depth: inches above pipe
Conditions: ~eP c ~o~ s t ~r wee oK r Q~"~ v' to f •~t f Gt inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 spec/Ted is diferent from the type specified 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 he 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 SEE ATTACHED SITE SKETCH
C
Authorized State Agent: w r Date: 0Z /111 -'Z1
Construction Authorization Expiration Date: 6 7
HTE# /a-,S=a2 $ 87 Permit # ot- 1 t0/
Harnett County 111epartinent of -tb ica ealth
Site s etell
R PROPERTY LOCATON: 'ect
ISSUED T0: e~ dJocl~ ~n SUBDIVISION LOT #
,~a o
ff
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: J`A-12-1 Pr
oposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: El Public❑ Individual Welt
Evaluation Method: Auger Bor' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
SOIL MORPHOLOGY
.1940
1941
OTHER
L
Landscape Horizon
.
PROFILE FACTORS
1942
E
#
Position/ Depth .1941
Slope % (In.) Structure/
.1941
Consistence
.
Soil .1943 .1956
Wetness/
Soil Sapro
1944 Profile
Texture
4
Mineralo
/
17
Color D th IN. Class
Rest, Class
Horiz & LTAR
-7 C, f~
LI
CILIfIZ111
r/
C~-
PS~
r -L
LAY
Description
Initial Repair System
Other Factors (.1946):
S stem
-Available Space .1945)
Site Classification ( 1948): elf-
-System T e(s)
Site LTAR
C l r
?
Evaluated B
Others Present: :