IPACHTE#-7 Yr Harnett County Department of Public Health 25841
Improvement Permit
A building permit cannot be issued with only an Ifs! rove n Permit
PROPERTY LOCATIO ,
ISSUED, T,0/: SUBDIVISION S t c,{ LOT # g
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 0 ES` y
Proposed Wastewater System Type: a.S% v c ; o e. S
Projected Daily Flow: 6 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ~ 4io -
Pump Required: ❑Yes ~ No ❑ May ~ required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: P- rivie years
Permit conditions: ❑ No expiration
Authorized State Agent: - f Date av/ d SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 T0: ~~g w r+/ ~t~ ~l PROPERTY LOCATIO C" r if
SUBDIVISION J- '4 LOT #
Facility Type: S'F 2/'New ❑ Expansion ❑ Repair
Basement? ❑ Yes C'No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" c rn ,64 5-v (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable 11
0~0 ~o
Installation Requirements/Conditions
Septic Tank Size 0 gallons
' AX Pump Tank Size gallons
Wcdvc4,vim 431 Y`-0 (Repair)
Number of trenches J-
Exact length of each trench 60 feet
Trenches shall be installed on contour t a
Maximum Trench Depth of. /e-2 'Y inches
(Trench bottoms shall be level to +/-1/4"
Pump Requirements: ft. TDH vs.
in all directions)
GPM
Co~nd~itiov1ns: 'e4 r r~ -Q/ 4c~ ~ or rC_~s
~7~ 'Z- /•\~I he -V~4 .-n M raci I)O!',
Trench Spacing: Feet on Center
Soil Cover: -lZ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
c s yf tr w-
**If applicable: / understand the system type specified is different from the type specified on the app116aon. / 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 Ruirc for C-- Tr-- -A ni..,,.,i ,nA d.. .._r.:__. _r err ATT.rurn 1- r
ui um pemnL a[C Al IALnru SHE )11CI01
c
Authorized State Agent: Jr
Date:
Construction Authorization Expiration Date: 3 'fMlj"
HTE# l -6 -7-3 7TI Permit # c2
Harnett Count- Department of Miblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION t LOT #
Authorized State Agent: AC ~f Date: l d
r
t
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I
W-jkA
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Department of Environment Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: /
Address: Date Evaluated: i /v
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: (Public ❑ Individual ❑ Well
Evaluation Method: uger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
L
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
Lambe"
Position/
Slope 9i
Horizon
Depth
(In.)
.1941
sttuctww
Taxwe
.1941
Consistence
Minarnb
.1942
Soil
wetnew
Color
.1943
Soil
Depth IN.
.1936
Sam
Clan
.1944
Redr
Horiz
Profile
Cleo
& LTAR
yy
L) f
s
uesmption Initial Repair system Other Factors (.1946):
Available 3 ce .1943 S mom Site Classification (.1948):
Sysunn a Evaluated 13y: ~y.
Others Present:
Site i.TAR i . ,