IPACHTE# V70 Harnett County Department of Public Health
Imurovement Permit 2711
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO / , n e-n 44-
ISSUED TO: J_+a-AC.1 A,,Ja9_1:1° SUBDIVISION a'~~~ 1r D,,- . LOT # /`/C
NEW 2T- REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ E b 09
Proposed Wastewater System Type: o0_7w
Projected Daily Flow: 6 GPD
Number of bedrooms: 3 Number of Occupants: L max
Basement ❑Yes R lo
Pump Required: ❑Yes 2 No ❑~Mabe required based on final location and elevations of facilities
Type of Water Supply: El Community E Public ❑ Well Distance from well feet Permit valid for: Er-Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Z~Z~.~ Date: 7// 7/'L°/ 2 SEE ATTACHED SITE SKETCH
The issuance of this permit by t Heath Ith Department inn ay 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: ~S~I-~ ~c . ~v`• ~I PROPERTY LOCATION: y Cn rQJ .
SUBDIVISION ,po,{ oiit' po r n LOT # / f/G
Facility Type: J_ Pe-New ❑ Expansion ❑ Repair
Basement? ❑ Yes C~No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a~ 7 gea v 4, (Initial) Wastewater Flow: 3 6 C GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches J
Septic Tank Size /000 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench ,S`y feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: / 8 -0 b inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: 6 - /S 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 applicable: l understand the system type speciped is different from the type speciped on the application. / accept the speciTcations 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 SEE ATTACHED SITE SKETCH
Authorized State Agent: ~ .~-~a- , Date: /c3 X,,/ Z
Construction Authorization Expiration Date: 7 111 k0/7
HTE# /o:-5--o23 7y
Permit # V? f
Harnett County Department of Miblic Health
Site Sketch
p j PROPERTY LOCATON: , n /,CcS.
ISSUED T0: e.l SUBDIVISION , k'A ,r l%, LOT # l y ~
2
Authorized State Agent: Zy.,~ vJos.., L' ~ Date: 7~..?
y~
w
V
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:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: [3"Public❑ Individual ❑ Well ❑ Spring
Evaluation Method:❑-~(ugerBoring ❑ Pit ❑ Cut
Type of Wastewater: []'Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
r ioen
Sheet:
Property ID:
Lot
File
Code:
❑ Other
SOIL MORPHOLOGY
OTHER
L Landscape Horizon
E Position/ Depth .1941
# Slope /a (In.) Structure/
Texture
."L
.1941
Consistence
Mineralo
.1942 PR
Soil
Wetness/
Color
OFILE FACTO
.1943
Soil
D th IN.
RS
.1956
Sapro
Class
.1944 Profile
Restr Class
Horiz & LTAR
C,
C~
X~r
J7 CI)
J
Description Initial Repair System Other Factors (.1946):
S stem Site Classification ( 1948): S_
Available S ace .1945) Evaluated By: $ ,
S stem T e(s) r- v oL Others Present:
Site LTAR . U a