IPACHTE# AZ 4 Harnett County Department of Public Health
Improvement Permit 2 7112
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATI :
ISSUED TO- ®-r~ c o t r y~ erf SUBDIVISION- >>.J Z: n LOT # d 51V
NEW 0' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: , i-1 8 XiL
Proposed Wastewater System Type: O-J-7.
Projected Daily Flow: 3('0 GPD
Number of bedrooms: .7 Number of Occupants: max
Basement ❑Yes NANo
Pump Required: ❑Yes Q o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ublic ❑ Well Distance from well feet Permit valid for: 2 Five years
Permit conditions: ❑ No expiration
r
Authorized State AgentKy6 w0.:-.i G-,y- Date: 7 'Z °1 r- SEE ATTACHED SITE SKETCH
The issuance of this permit 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, .1959. 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 f3~. lQ ~r PROPERTY LOCATION: ` •
SUBDIVISION _ l ,fk- :f >°GLOT # /
Facility Type: tsF D Z "'New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2J No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** flL 5- 7, ~ed u: v,~_~f~,
(Initial) Wastewater Flow:_ GPD
(See note below, if applicable
oZ576, getc,`+;~ tiZzA, (Repair)
Installation Requirements/Conditions Number of trenches 3 '6'-
Septic Tank Size /00 d gallons Exact length of each trench '~~LrZ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. /8-,7 G inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: 6- / inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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 specipcations 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 chance in ownershin of the sire 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: ~Date:
-7 1 /~3 2 i Z
Construction Authorization Expiration Date: 711 J zG i7
HTE# /-2- -S
8 G~. 8 Permit # 02.7 I t Z-
arnett County Depart lent of Y ~i lic Health
Site Sketch
PROPERTY LOCATON: ew ,ed.
ISSUED T0: SUBDIVISION 4 t'f~~r e F LOT #
Authorized State Agent: ~e / Date: 7 )1,7 / IU/2
r' 1=
i
r0
1I-~')Z,
14
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: 1~ ZcC
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: / E] Public❑ Individual ❑ Well ❑ Spring
Evaluation Method: Auger B rng ❑ Pit ❑ Cut
Type of Wastewater: LJ Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
T
Sheet:
Property ID:
Lot
File
Code:
SOIL MORPHOLOGY
❑ Other
OTHER
L Landscape
E Positiont
# Slope %
Horizon
Depth
(In.)
1941
Structure!
Texture
.1941
Consistence
Mineralo
Y
.
KOFILE FACT
1943
th 1 N.
ORS
1956
Class
.1944 Profile
Restr Class
Horiz & LTAR
Lf V7,
VO
G-
15
J-71 15
E
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): f
Available S ace .1945) Evaluated B
S System T e(s) ~1- - y'~'r~
Site LTAR Others Present:
b