IPACHTE# 302-7-6 Harnett County Department of Public Health
Imurovement Permit 27232
A building permit cannot be issued with only an Improvement Permit
r} PROPERTY LOCATION'V, l �'� 61i) . .ogc--C lZb
ISSUED �
TO• �/ 6,103 I '1 -it:r 0 4A4414 -11 Jc— SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: e%
Proposed Wastewater System Type: Z y 17- vYGV1e'>5
Projected Daily Flow: '3le 0 GPD
Number of bedrooms: — 3 Number of Occupants: max
Basement [--]Yes o
Pump Required: ❑Yes ❑ No I�MPle required based on final location and elevations of facilities �� Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for: Z Five years
Permit conditions: ❑ No expiration
Authorized State Agentf, � �.%° a1.3,�+.� _ Date: /Z f i Z SEE ATTACHED SITE SKETCH
The issuance of this permit by tl ' alth 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 Perrlit
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: PROPERTY LOCATION:S�i.�
SUBDIVISION LOT #
Facility Type: :5a d New El Expansion ❑ Repair
Basement? 11 Yes No Basement Fixtures? ❑ Yes 1No
Type of Wastewater System" ` —% i°2' (Initial) Wastewater Flow:
(See note below, if applicable ❑) 7
'� (Repair)
Installation Re uirements /Conditions Number of trenches 2
3 &c^ GPD
I
Septic Tank Size IC CC gallons Exact length of each trench 16-0 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. 22--j;12 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 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
®? inches total
* *If applicable: /understand the system type specified is different from the type specified on the application. /accept the speciFcations 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 translerred 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. 3tt AI IAL1110 )Ilt JfitlLtt
�� t2., —ri — d-L
ent:
Authorized State d� " Date:
Construction Authorization Expiration Date: ; ,Z- — d `ir — 11
HTE# A0'LZ4 -- — Permit # —7 2— 3 Z —
M-11-liett County Depa.1-tillent of Public Recalth
Site Sketch
PROPERTY LOCATON: &CiZ 1�zlc 15
ISSUED TO: —7—
SUBDIVISION LOT
Authorized State Agen Date: j Z—
M
ig
L
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: P1
Address: Date Evaluated:
Proposed Facility: Z} Design Flow (.1949): 3 2
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ 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
& L TAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
G C4
l
3° i
` 3
112-
1- -
° 10
n Jul
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space(. 1945)
System Type(s)
Site LTAR