IPACHTE#' 4n -!~T"° N f Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~f_ r PROPERTY LOCATIO & Z~*~
ISSUED i0 a-- t?Z t(' /V G SUBDIVISION „'s&, LOT # _
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F L~
Proposed Wastewater System Type:
ST'~ErfyZ~t iltl~
Projected Daily Flow: 3160 GPD
Number of bedrooms: Number of Occupants: 4p max
Basement ❑Yes 52 7 No
Pump Required: ❑Yes ❑ No Ld MMbbe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LJ Public ❑ Well Distance from well feet Permit valid for: l4 Five years
Permit conditions: ❑ No expiration
Authorized State Date: - w - 10 SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 T 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 TO: -r~d~ ~rra ~f/fe. PROPERTY LOCATION: /f F;%U .5 46
SUBDIVISION .y'zSo7~ LOT
Facility Type: New Expansion El Repair
Basement? ❑ Yes Gi~ No Basement Fixtures? El Yes 5~jNo
Type of Wastewater System** Z51,!?a5bUC-,F40,) -Yey IF
(Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
20%
56Z .P~')-3 ✓!r'~~,'T 7` (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size SOD t~ gallons
Exact length of each trench 8b feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. eZ ) 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: y+ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
/ inches total
**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 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 nwnprshin of rho airy 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. Stt Al IACHtU Jilt NKLICH
Authorized State Ag "/p-' 4, Date: & -)0- 16
Construction Authorization Expiration Date: /
H T E # iJ `S = 5Z, .5- / Permit # ,26093
Harnett County Department of Public Health
Site Sketch
, s`lCi,~I.S /2/J
PROPERTY LOCATONL-`W1Ve/Y
ISSUED TO: SUBDIVISION LOT # 508
Authorized State Ag Date:
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Department of Envimnmenk Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File *
SOIL/SITE EVALUATION Code:
for 014-81TE WASTEWATICRSYSTEM
Owner. Applicant: 4b
Address: Date Evaluated
Proposed Fm it)r :F^ Design Flow (.1949): } Propeitp Size:
Lncadon of Sits Property l(ecorded:
Wateti Supplr:; Q IN'b0c ❑ Wividual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pk cut
Type of Wastewater: G-fcwag ❑ Industrial Process mixed
P
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3013• MORPHOLOGY
OTHER
1
L
.1940
.1941
PROFtLB FACTOR,
Larndmaap
Horizon
.1941
E
Paaidaaf
Slope %
Depth
00
1941
St
w
.1941
soil
1443 .1956 .1944
Profllti
pm
ruaft
Consixenae
Wetnad
9ai) S1pro Raab
clam
Texture
Mtnenla
Cola
1N. Clw Hass,
b LTAiR
22,41t
ZL
a e~ i
Z
Or
O
It
epatr sl'~ Other Factors (,1946k
site CimmCation (.1948k
Evaluated B):
Others Proxnt: