IPACHTE#Harnett County Department of Public Health
Improvement Permit 2 6 2 6 4
A building permit cannot be issued with only an Improvement Permit
p PROPERTY LOCATION: R.E. ~2,~
ISSUED T0: W Pyc~sE E- ~SCr~ N v~ SUBDIVISION `t' r> " ~rQSzrr LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S i~Ci
Proposed Wastewater System Type: but `1 0 RLloUC,',o rJ
Projected Daily Flow: 'x+00 GPD
Number of bedrooms:S Number of Occupants: C max
Basement ❑Yes kNo
Pump Required!>4Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "5~ Public ❑ Well Distance from well 1 bb feet
Permit valid for. ~ Five years
Permit conditions:
❑ No expiration
Authorized State Agent: Date: `i a 1Lj SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holder is esponsible 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 ermit 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: R-~m3 p,v rt PROPERTY LOCATION: LA 12L
SUBDIVISION LOT # 00
Facility Type: Sip X66 ny a \5( New ❑ Expansion ❑ Repair
Basement? ❑ Yes `K No Basement Fixtures? ❑ Yes '~K No
Type of Wastewater System" y me 7 C "W^%e ct;, Q "'J (Initial) Wastewater Flow: 3( CJ GIRD
(See note below, if applicablex)
Py pct N (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1 O 0 gallons Exact length of each trench ti`t 0 feet Trench Spacing: Feet on Center
Pump Tank Size 1 a a 6' gallons Trenches shall be installed on contour at a Soil (over inches
Maximum Trench Depth of. 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
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
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.
*If applicable: / understand the system type specified is different from the type specified on the application. / accept the soecif1=1onr of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the si plAL or the intended use changes. The Construction Authorizat on shall not be transfer
Construction Authorization is a compliance wi e imf the and Rules for Sewage Treatment and Disposal and to the conditions of this -PN
Authorized State Agent: Date:
Construction thorization Expiration Date: cl
Date:
inches total
when there is a change in ownership of the site. This
mit SEE ATTACHED SITE SKETCH
0
NTE# 10 -5 Permit # 1y a CD
1Ia7illett ("olillt. Depotfineiit of Public I~Ie~lltl~
S, i to S~
ketcll
ISSUED TO:
PROPERTY LO(ATON: \A i2E o
_ SUBDIVISION ~ v i,,i Tai sus LOT #
5 ~Q r w ro~NsF~ Date:
Authorized State Agent:
~L) "o 7C;
1
ti
n
c~ m cq C-c~ Cl.~
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: s Design Flow (.1949): 3X,0
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: 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
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
00
.1941
Structure/
Taxwre
.1941
Consistence
Mineralogy
.1942
Soil
wetness!
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horn
Profile
Class
k LTAR
f
O-)(n
c> 5
I(:)
~S-3c
Description
Initial
S st
Repair System
4
Other Factors (.1946):
1948): P-5
Site Classification (
Available S pace 1945)
j
7
.
t
E
l
d B
System Type(s)
Ott} C,o iv
T V F~S'~
va
ua
e
y: a
Oth
P
Site LTAR
.15
ers
resent: p'.l