IPACHTE #'14 -`�°1 Harnett County Department of Public Health 27796
Improvement Permit
A building permit cannot be issued with only an Improvement Perrin ,
7;� �c�s ®� PROPERTY LOCATION: H)"Lz No�g Q10-4 E
ISSUED TO: �� t �-t— l E' SUBDIVISION LOT #
NEW)" REPAIR ❑ EXPANSION C�
�
Type of Structure: M i-, A N Or- L7'f" O
Proposed Wastewater System Tyke: �-�I� �uc'S t v,.s
Projected Daily Flow: 4116. GPD
Number of bedrooms: 4
Basement ❑Yes >r4o
Pump Required: ❑Yes No
Type of Water Supply: ❑ Community
Permit conditions----,-o.a._
Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
❑ May be required based on final location and elevations of facilities ,
❑ Public K Well Distance from well J ® feet Permit valid for: Five years
N„ ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the issu
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
The construction and installation requirements of Rules
with the attached system layout
Date: -1L Va�l)1'1 SEE ATTACHED SITE SKETCH
permits. The permit holder is respo ible for checking with appropriate governing bodies in meeting their requirements. This
ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
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
ISSUED TO: 91 -a I t-4A(? 7-7:� )), NS ®N
PROPERTY LOCATION: )"--Nat's CCLsu -NE
®s�E ( SUBDIVISION LOT #_
Facility Type:��o X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fi tures? ❑ Yes No
Type of Wastewater System ** a-�S10 p uL� t Ct >v '�—]) (Initial) Wastewater Flow: a GPD
(See note below, if applicable ❑) /
` o 9,e Doors l0 T') (Rpnairl
Installation Requirements /Conditions
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches a
Exact length of each trench —i !!�; feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: 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 specified is different from the type specified on the application. /accept the specifications of this permit.
Owner /Legal Representative S nature: Date:
This Construction Authorization is subject to revoca �the,.ite:'101�k�lat, 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 su k iance t ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construct"N Authorization Expiration Date:
HTE# �L-� _5 _ �
ISSUED
Authoriz
Permit # D��0�0
Harnett County Department •
Site Sketch
PROPERTY LOCATON:
_ SUBDIVISION LOT #
1 0 "1 1-1-MC71NJ
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: c� Date Evaluated:
Proposed Facility:` Design Flow (.1949): t-Jitl
Location of Site: Property Recorded:
Water Supply: c❑ Individual Wel
Evaluation Meth &Lk6uguer Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I .1940
L Landscape
E 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
J
L--?
C7 :a-.
Q--CA
� j
\l� �j�
S y�
Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1940.
Evaluated B
Others Present: --✓
Available Space (.1945)
J
System Type(s)
Site LTAR
X-7