IPACHTE# 1Z - — 2 6,1 Harnett County Department of Public Health
Improvement Permit 27035
A building permit cannot be issued with only an Improvement Per�j't
�/ PROPERTY LOCATIO /y'z?
ISSUED TO/ A ,f /�'� 7 SUBDIVISION LOT #
NEW Q REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: GPD `i
Number of bedrooms: � Number of Occupants: max
Basement ❑Yes 21 o I-Public
Pump Required: ❑Yes ❑ No required based on final location and elevations of facilities _,.-
Type of Water Supply: ❑ Community C�Well Distance from well feet Permit valid for: Z Five years
Permit conditions: ❑ No expiration
Authorized State �' �' Date: °i ® )2— SEE ATTACHED SITE SKETCH
The issuance of this perm' y th ealth 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 i 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 TO: r PROPERTY LOCATION: ' a'-fZ --Z /fir - z= 6faw
SUBDIVISION LOT #
Facility Type: Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** ZS-316 " ., u (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Conditions:
Trench Spacing: Feet on Center
Soil Cover:_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
2�. inches total
* *If applicable: / understand the system type specified is different from the type specified on the application. / 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
Authorized State
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date: 7 °–'�— f Z,
Construction Authorization Expiration Date: 5'^—
eflair)
Installation Requirements /Conditions
Number of trenche—
Septic Tank Size /< gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ZP-, 7 J 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:_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
2�. inches total
* *If applicable: / understand the system type specified is different from the type specified on the application. / 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
Authorized State
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date: 7 °–'�— f Z,
Construction Authorization Expiration Date: 5'^—
HTE 29.576 / Permit # Z-7 0 3'3-
Harnett County Department of Public He(alth
Site Sketch
PROPERTY LOCATON:(5X--JYZ,7 Ab
ISSUED TO: SUBDIVISION LOT #
Authorized State A Date:
<StL N24 3*1;4�Lo-k jab
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL /SITE EVALUATION Code:
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date E uated: 8-3"Z-
Proposed Facility: Design Flow (.1949): 790 Property Size:
Location of Site: Property Recorded:
Water Supply: . ErPublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: [Auger Bor ng El Pit F1 cut
Type of Wastewater: Q Sewage ❑ Industrial Process ❑ Mixed
P
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
R
System T e(s)
Z`'
Site LTAR
O
F
SOIL MORPHOLOGY
OTHER
1
.1940
.1941
PROFILE FACTORS
.1942
L
Landscape
Horizon
E
Position/
Depth
.1941
.1941
Soil
.1943
.1956
.1944
Profile
#
Slope %
(In.)
Structure/
Consistence
Wetness/
Soil
Sapro
Restr
Class
Texture
Mineralogy
Color
Depth (IN.)
Class
Horiz
& LTAR
IZ
0 -Ly
�L
-
9
Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System T e(s)
Z`'
Site LTAR
F