IPACHTE# Harnett County Department of Public Health
Improvement Permit 2 6 3 6 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 'C` kL2 --5
ISSUED TO: Y'r. N Q~~ct~--E SUBDIVISION T-,\ .s"" t~~ c (0 LOT #
NEW; REPAIR ❑ EXP ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SC=O {mod ,
Proposed Wastewater System Type: Cep rt -J tic~>v N L-
Projected Daily Flow: 3ro 0 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes 'K No
Pump Required: ❑Yes XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t O rJ feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: \\~_w~\ ~O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is ` of other permits. The permit holder is respon ible 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 Improv ept 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 TO: PROPERTY LOCATION: t \P~~A~~i 9-9
SUBDIVISION LOT # `1
Facility Type: SAO New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes 'M No
Type of Wastewater System" Ca Not C-- "r-, LG" 5,>4, (Initial) Wastewater Flow: 3~a GPD
(See note below, if applicable
CA rt v ' 1G N J;>,1^ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ®o ® gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench S c9 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: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
1~- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 speciled is different from the type speciled on the application, / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject_t 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 subjee o complia itt v~u~ns of ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: _
Constr Authorization Expiration Date:
HTE# aO "5 ~S ~1 Lj
Permit #
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: Nl kb<-5 Q4
_ SUBDIVISION ~s~rEF c a.0
LOT #
Date:
Nl Acts-s Q.9
50~
f
1 ~S
Department of Emrironmenk Health and Natural Resources Sheer
Division of Environmental Health ' Property On-Site Wastewater Section Lot 0:
ID:
Lot ll:
SOIIJSITE EVALUATION File M:
for ON-$I'v m Coda:
ASTEWA I MA SYSTEM.
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: DeAgm Flaw (.1949): Froperty Size:
LagtiotiE of She: Proptlrty Recorded:
Water SuPPty Public ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit Cut ❑ spring ❑ Other
Type of Wastewater: Sewage ❑ Industrial Process mixed
it
0
F
I
L
9
A
SOIL MORPHOLOGY
Vi
.1440
Landscape
Horizon
.1941
i:
PROFU FAC
Posi$ow
l
Depth
1941 .1941
194
soil
10
S
ope K
(1a)
Strucmrwt Considem
War
ned
:1:.
:
Color
of.
as
tc,,,, ~ ly e
Vaner Yactors (.1946) -
Sits CI&Wcadon (.1948)
Evaluated By: 0-115 rN
Others Prexnt:
.1936
.1941 PMMO
Restr Clod
Haas. A LT'AM
Sg