IPACHTE# /Z "-S= 256Y6 Harnett County Department of Public Health
Imurovement Permit 27040
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:/tfi, , Zt,7-
ISSUED TO- �'!'=-t --5` Ale, 16 � SUBDIVISION Y���lti ' LOT #
NEW L REPAIR ❑ EXfANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: bi,t_3 ^-44
Proposed Wastewater System Type: ZS !�lc i 0r>UKJ24Z3 --)e,.5 y4--
Projected Daily Flow: 1fgo GPD
Number of bedrooms: -` Number of Occupants:' _max
Basement ❑Yes 1�7 No
Pump Required: ❑Yes ❑ No LAS Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LJ Public ❑ Well Distance from well feet Permit valid for: 2r/Five years
Permit conditions: ❑ No expiration
Authorized State A Date: !2 / /-Z- SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 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:
-7A—
ISSUED PROPERTY LOCATION: � Z
/ SUBDIVISION A- LOT #
Facility Type: New Expansion E] Repair
Basement? El Yes Rr No Basement Fixtures? El Yes 5N o
Type of Wastewater System ** 1-t& /a (Initial) Wastewater Flow: �` GPD
(See note below, if applicable ❑)
' d q,,p 46 Z`y° it �f rtr>_. (Repair)
Installation Requirements /Conditions Number of trenches 6--L 3
Septic Tank Size i 'Zc36 gallons Exact length of each trenc L� 6 cso feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 2Z --"> 4 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
2 inches above pipe
/Z inches total
*If applicable: /understand the system type specifed is different from the type specified on the application. l accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site clan, slat, or the intended use chances. The Construction Authorization shall not be transferred when there is a chance 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 nt: Date: � /a " / -Z�
Construction Authorization Expiration Date: 9 " IF — 1 i
m
11
a
V,
bw��
m
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: �) 7
Proposed Facility: Design Flow (.19490
Location of Site: Property Record :
Water Supply: . [Public❑ Individu ❑ Well
Evaluation Method: [Auger B ng Pith ❑
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
Cut
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
5'
sL-
At.C- �rs�tti P
s -ZY
sc cry
is `@
Z ",
<SC -C 191
J f
31
s'- tt
.5Z -
1
•mom
Description
Initial
System/,'-
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: T_
Available Space(. 1945)
System T e(s)
Site LTAR
>