IPACHTE# 1_S 49W Harnett County Department of Public Health
Improvement Permit 27030
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION
ISSUED T0: r qtr SUBDIVISION n2 ~ LOT # _Z_
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ZV.14 f ~~G~z3
Projected Daily Flow: ~ - GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No /Mav< required baon final location and elevations of facilities
Type of Water Supply: ❑ Community 7 public Z Well Distance from well J0C-s " feet Permit valid for: ZViveears
Permit conditions: ❑ No expiration
Authorized State Agen . Date: i i 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: A 1cv PROPERTY LOCATION: , r ca3
SUBDIVISION % LOT # Z
Facility Type: 1Z New ❑7 Expansion ❑ Repair
Basement? I] Yes No Basement Fixtures? El Yes El No
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable
S~/0 (Repair)
Installation Requirements/Conditions Number o trenches 4Z
Septic Tank Size Lf~ gallons Exact length of each trench es /met Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: Z 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 specifed is different from the type specified on the application / accept the speeiTcations of this permit.
Owner/Legal Representative Signature: Date:
This rnmtrurtinn Authnri7ntinn is mhiert to revnrntinn if the sire nlan_ nlat. nr the intended use chanoes. The Construction Authorization shall not be transferred when there is a change in ownershiD 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 nt: 2 14~'~ Date:
Construction Authorization Expiration Date: F, -25- 1`7
HTE# 1Z-,5--2!2&60 Permit # Z 7D30
Harnett County department of 1`1-tblic Health
Site Sketch
>
LI3'7- '
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: B,j~A ,vZ•
Address: Date Evaluated: j 0
Proposed Facility: Design Flow (.1949
Location of Site: ( Property Recorded:
Water Supply: . Public[] Individual ❑ Well
Evaluation Method}' Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ~ewage ❑ 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
-5L
d'
/2
0
~sy'
1
.3
Z13
-T~3
o~ /z
5zL
Pan. NSNA
R2
`1
L
g
L 45~
° _/Z
stn
j° "v5w 0
/2-
36., mss;
Description
Initial
S ste
Repair System
Other Factors ( 1946):
Site Classification ( 1948):
Available Space (.1945)
Evaluated By: Q)
System T e(s)
Others Present:
_
Site LTAR
q-7-3