IPACHTE# /,7-- Harnett County Department of Public Health
Imarovement Permit 27138
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 7,,'�an Jed Xd-
ISSUED TO: SUBDIVISION K,4 ,r -bolt Tizitt.,/c, LOT #
NEW C' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S`F J -713
X
Proposed Wastewater System Type: p? S y /end
Projected Daily Flow: `/6) a GPD
Number of bedrooms: L/ Number of Occupants: s max
Basement ❑Yes L!f N—o
Pump Required: ❑Yes CA'!Io ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E2"Public ❑ Well Distance from well feet Permit valid for: 0 five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Z Z"y /1'��%W /fl Date: t z- 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, .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: /YL PROPERTY LOCATION: T. '4o. , 4o�,-kr X-1
�,
/' SUBDIVISION -Z) c-1 ,k.,r�v. LOT # �
Facility Type: 5->Cb EJ New ❑ Expansion Repair
Basement? ❑ Yes Rlo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** d-5— 4LA 4. Sy- (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches .3
Septic Tank Size / 0 cs gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 6 o feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: a.® inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: `9 Feet on Center
Soil Cover: 8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 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 pecified is different from the type specified on the app lication. / 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: Date: / J Z
Construction Authorization Expiration Date: / -i 7
HTE # Z,,�-r -Zt8&
Permit # �-? 13 0
Harnett County Department of Health
Site Sketch
PROPERTY LOCATION:
ISSUED TO: &e SUBDIVISION lkje— 75'kA rt, LOT # Z
j
Authorized State Agent',��. - - " /.r. sL�e�f(i Date: o !i 9
T ��.-, 4b ,-.fir A
A //- f- -f
jr C— diC-
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:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: []/public[] Individual ❑ Well
Evaluation Method: Auger B ng ❑ Pit ❑ Cut
Type of Wastewater: S`ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
1
3
C-
P 2 7/t
v J�
c� lSL
- A61-11
/J 5-
A/ A> Wj
Description
Initial
system'
Repair System
Other Factors ( 1946):
Site Classification (1948):I %r
Evaluated By: ti-
Others Present:
Available Space(. 1945)
System T e(s)
oZ f
Site LTAR
S`�
1