IPACHTE# /Z- - 'ZH Harnett County Department of Public Health
Improvement Permit 27234
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S�J ZS. °T� � _ /Z.4
NEW 0' TO0- REPAIR ❑ SUBDIVISION LOT #
f� EXPANSION ❑
Type of Structure: T-Pyl>
Proposed Wastewater System Type:2'50 -4 2=
Projected Daily Flow: q130 GPD
Number of bedrooms: — 4 Number of Occupants: _max
B t ❑Ye 17/111.
Site Improvements required prior to Construction Authorization Issuance:
asemen s 17/111. ������/
Pump Required: ❑Yes ❑ No EY be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L'1 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Give years
❑ No expiration
Authorized State Agen .: _. i,� Date: / ' " V3 SEE ATTACHED SITE SKETCH
The issuance of this permit byte 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 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: J PROPERTY LOCATION: 5JU42 l � fir_ f23�
/ SUBDIVISION LOT #
Facility Type: 2 New ❑, Expansion ❑ Repair
Basement? El Yes 12`1 o Basement Fixtures? El Yes Q" No
Type of Wastewater System ** Z & rZ&>0 s:4-F40 (Initial) Wastewater Flow: $0 _ GPD
(See note below, if applicable ❑)
m, (Repair)
Installation Requirements /Conditions Number of t Aches Z
Septic Tank Size / 2-0 tl gallons Exact length of each trench � P feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z- 5 % A 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: 4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
'z inches above pipe
IL inches total
* *If applicable: / understand the system type specified is different from the type specifed on the app /ication. / 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 Jtt Al MUM) 311t 3KtMr!
Authorized State Ag . Date: t
Construction Authorization Expiration Date: ' �'
HTE# IZ—'5- 30Z15 Permit # � -1 cR 3 q
Harnett County Department of Mtblic He,,rt)ltll
Site Sketch
PROPERTY LO(ATON: -5AWi 1-0 6X, RJ�
ISSUED TO: SUBDIVISION LOT
Authorized State Agent: Date: f Z-15
M
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I
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IT
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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: 'mac Cfw —�--
Address: Date Evaluated: /0-1
Proposed Facility: 50> Design Flow (.1949): A90
Location of Site: Property Recorded:
Water Supply: [ Public❑ Individual ❑ Well
Evaluation Method: 0 Auger Boring ❑ Pit ❑
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
Cut
❑ Mixed
P
R
O
F
I .1940
L Landscape
E Position/
# Slope %
SOIL MORPHOLOGY
.1941
Horizon
Depth .194; .1941
(In.) Structure/ Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L�
Site LTAR
2v —k�a
Ax-C
riq` "" y
2 y
SL
4L
Aj
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR