IPACHTE# 1'- s-a'55D5- Harnett County Department of Public Health
Imarovement Permit 2 7 0 9 4
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~I1Cx-~ C~t~
ISSUED T0: S rr1YV 1- ►O c SUBDIVISION k-Eraa_,5~ 5 LOT # "9
f
NEW REPAIR ❑ EXJNSION ❑ Site Improvements required prior to Construction Authorization Issuance: -
Type of Structure: ~7i7 ( L-13 " 1,
Proposed Wastewater System Ty e: ~~°1 a RTcDUCS\OJ.t ~y7 ~£M
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water-. ❑ Community Public ❑ Well Distance from well 1®O feet Permit valid for: ,K Five years
Permit conditions: w~~- ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the i ion
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 1? Ian ~ 1'4- SEE ATTACHED SITE SKETCH
permits. The permit holder is sponsible for checking with appropriate governing bodies in meeting their requirements. This
;rmit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: fv v') _ ' oc L-L(-, PROPERTY LOCATION: ~~2E 9.0
SUBDIVISION `.rya cQ q N,5 LOT
Facility Type: S~Q ~,~-~t3 ~S I'~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes *'9 No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 9Muc.r~ ) 0 u +-S `/5-TC- N _ (Initial) Wastewater Flow: 4 8 0 GPD
(See note below, if applicable
X5°14 v(Z;'~stl.nr Sys ~L:.rr~ IRenairl
Installation Requirements/Conditions
Septic Tank Size 1-1Z)C'i gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches 3
Exact length of each trench -5 C) feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 3(6- Lf? inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
S 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 specified is different from the type specified on the application. / acrept the specifications of this permit.
Date:
This Construction Authorization is subject to revocatto a site plan, lot, 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 subjgbLo compliance whe wows and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: y G- Date: g
Construct Authorization Expiration Date: _
HTE # I aL ; ~ S-3-5- Permit # 2001
axnett County )epti-tnnent of ublic eldth
Site ketell
ISSUED TO:
Authorized
LOT #
-1-.
Departrnent 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 EvaluatedQ
Proposed Facility: )-j 66C_'qg5!"- Design Flow (.1949):1-V(5
Location of Site: Property Recorded:
Water Supply: 'Public❑ Individual ❑ Well
Evaluation Method er Boring ❑ Pit ❑ Cut
Type of Wastewater: 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
(hi.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
O
.r1Hp
Description
Initial
S sterp
R air System
Other Factors (.1946):
Site Classification (.1948)
Available Space (.1945)
Evaluated By: 6''
System T e(s)
Others Present:
Site LTAR
d
g
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