IPACHTE# 11 Harnett County Department of Public Health
Improvement Permit 26386
A building permit cannot be issued with only an Improvement Permit
Co PROPERTY LOCATION: ® o r -s 9--9
ISSUED TO: 'r car `--o (1,v C:~ SUBDIVISION tzo i ~ Sot s ?-,or E LOT #
NEW REPAIR ~J E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F Q < L1$
Proposed Wastewater System Type:
Projected Daily Flow: L49 d GPD
Number of bedrooms: H Number of Occupants: '-9S max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t b feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: »V Date: N t ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit ho der 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 Impro ment 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: \-I -1N N -aN 0 V-J PROPERTY LOCATION: C) 5
SUBDIVISION ~&z-s 9.,o,SC LOT # 1t'L,
Facility Type: S f-D Li3 x~t$~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes -X No Basement Fixtures? ❑ Yes ',S~ No
Type of Wastewater System** (:.0 N v r^ o L's PJ.- (Initial) Wastewater Flow: LAS' GPD
(See note below, if applicable
C N vE,~s ~ oo tj$\t- (Repair)
Installation Requirements/Conditions Number of trenches Li
Septic Tank Size no c/ gallons Exact length of each trench So feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Q-L~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
V-L 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: l understand the system type specified is different from the type specified on the application. l 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 ownership of the site. This
Construction Authorization is subject to comp is ' the provisionn Off the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Trench Spacing: Feet on Center
Soil Cover: 1a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: -1~ inches above pipe
Authorized State Agent: Date:
Co action Authorization Expiration Date:
HTE # Permit # a~3~ (e
Harnett County Department of 11iblic Health
Site Sketch
PROPERTY LOCATON: drams r~
ISSUED TO: •3 `G ~r SUBDIVISION w o>>E2s ~~fl6 LOT #
Authorized State Agent: Date:
~1\
~L4o
SZ7
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant:
Address: Date Evaluated: \
Proposed Facility: n`5 Deslgp Flow (.1949): U, b, C Property Size:
Location of Site. Property Recorded:
Water Supply; Puboo- ❑ lrxNdual ❑ Well ❑ Spring ❑ Other
Evaluation Method: uger Boring ❑ Pit cut
Type of Wastewater. VS4wage ❑ Industrial Process Mixed
P
R
O
F
SOIL MORPHOLOGY OTHER
1
.1940
.1941 PROFIL$ FACTOR,
L
Laadacape
Horizon
.1941
9
Position/
Slope %
Depth
(tor
)
.1941 .1941 soil .1943 .1956 .1944 Protll®
st
d
.
ruchY
Coaaiatm a wetnead soil Sapre Re* Clue
Texture Mtnenb Color IN. Clan Hail
ALTO
.
I%GPW 3yamm Othe+r Factors (.1946)
g----
Site ClassiHcation (.1948)>
17 ~ Evaluated B): c~c
E
Others present: ,
LAX S C)