IPACHTE#IU-s--zss13 Harnett County Department of Public Health 26092
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION:.SrG /Yl C
X'e.
ISSUED TO- SUBDIVISION LOT # -9e,
NEW REPAIR ❑ EXPANSION ❑ Site Improvements. required prior to Construction Authorization Issuance:
Type of Structure:f
Proposed Wastewater System Type: 0'5? "W725
Projected Daily Flow: 3166 GPD
Number of bedrooms: K,- Number of Occupants: _ max
Basement ❑Ye~s E? No
Pump Required: IQYes ❑ No ❑ MMoe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Lif Public ❑ Well Distance from well feet Permit valid for: 9-rive years
Permit conditions: ❑ No expiration
Authorized State A Date: 11-1-7-10 SEE ATTACHED SITE SKETCH
The issuance of this perm a Health 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, .1957, .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: ..7 - JC- PROPERTY LOCATION: Zr X6 4411 M
SUBDIVISION LOT #
Facility Type: New E;~'Expansion ❑ Repair
Basement? ❑ Yes Q No Basement Fixtures? ❑ Yes C3 No
Type of Wastewater System" m-n" /.C> ,i-gox) R6NU2&d -5;,5(Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 14o0 gallons Exact length of each trench 44,~6 feet
Pump Tank Size 1060 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2 q 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: -c-inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
4 inches below pipe
Z inches above pipe
/'Z- inches total
**If applicable: l understand the system type specified is different from the type speciped on the application. l accept the specipcations 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 AI IALM SHE SKETCH
.
Authorized State Age Date: , 7 - w
1 Construction Authorization Expiration Date: 0 - 17 o s--
HTE# 10 S = 3 Permit # 0&05 Z
Harnett County Department of I'Tiblic Health
Site Sketch
PROPERTY LOCATON:S/Z /1112. c.~zGiSr/r~ Gx
ISSUED TO: S~" d G SUBDIVISION % ~ LOT #
Authorized State A nt: Date: 11-1-7- zo
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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:
Address: Date Evaluated: "
Proposed Facility: 5 *G~ Design Flow (.1949): 37i;-. 6
Location of Site: Property Recorded:
Water Supply: iblic ❑ Individual ❑ Well
Evaluation Method: ff ~ 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
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Cola
.1943
Soil
Dqft IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
dt LTAR
f
L5%
b -zf,
S L
b -3 k,
L
6 ~ 'ZAe
Description
Initial
system-,
Repair S tam
Other Factors (.1946):
Site Classification (
1948):
Available Space .1943
.
Evaluated B
:
System s
y
Oth
P
e
t
Site LTAR
'
I_
ers
sen
r
: