IPACHTE# ia-s"=agszc Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: T.`,n C v r r
ISSUED TO: Siff ~.vca.f SUBDIVISION
NEW fib REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M t-I a 8 X rb'
Proposed Wastewater System Type:
Projected Daily Flow: I. G GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes L'No
Pump Required: ❑Yes Clo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 "'Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Authorized State Agent:: - ;-,X6 4~/- Date: P117 /Z°/ '7- SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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, .1957, .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: , ~ f f L,)c-aJ
Facility Type: A tt
Basement? ❑ Yes ❑ No
Type of Wastewater System** _
(See note below, if applicable
Gc 11,. PROPERTY LOCATION: f u rr
2 New
Basement Fixtures? ❑n Yes
SUBDIVISION
❑ Expansion ❑ Repair
❑ No
LOT # -x-
(Initial) Wastewater Flow: .7 y
P~nnv A•-.(Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size /000 gallons Exact length of each trench /c a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a- t 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: t oz inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
GPD
inches below pipe
inches above pipe
l inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 an 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. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~ G ~ W Date: 9' / /orv t
Construction Authorization Expiration Date: 4 2 c/ 7
A~A
27125
LOT #
Five years
❑ No expiration
HTE# /a2-tr-a9.5-)- Q
Permit # a-2 12-j-
Harnett Connty Department of "libli c Health
Site Sketch
. Cv r-•.. ~~1.
11 PROPERTY LOCATON:
ISSUED TO: G~~ ~~f SUBDIVISION LOT #
xc"I- Date:
Authorized State Ageny~f-,-,,-
sow C,.rr 1, /`i•
4, rc-/---
Department of Environment, Health and Nato, Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: c`3 ~oC Z
Proposed Facility: Design Flow(. 194 Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: [-:I//Auger B Ong ❑ Pit ❑ Cut
Type of Wastewater: 0" 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
3~
~s~kl c
~ ~
X42
w'x I
/~f G
U-
G bf
I~I~r,NI/U~
f c~
as
3-6) ~s'G1
rff
-
, y
1
0- 1- 1
-
Cr
✓ T. A
l'
-YL
44 cl
f --rA
0
0
C~_
✓ /vf NP
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948): 6f
Available Space(. 1945)
Evaluated By:
System T e(s) C -
C a
Others Present:
Site LTAR
J