IPACHTE# /-s- Z-1(. 13 Harnett County Department of Public Health
Improvement Permit 2 6 7 6 3
A building permit cannot be issued with only an I~mprovement ermit
PROPERTY LOCATION: cJ r/✓c.pa~Ai 1~,~=~11c.
ISSUED TO- C ,,6rI"_ , oMcl L.Lc. SUBDIVISION LOT #
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J- - Q So K c/(}
Proposed Wastewater System Type: 0 t"G.tttcv~ :vet
Projected Daily Flow: ~7 (P 0 GPD
Number of bedrooms: ms`s Number of Occupants: f° max
Basement ❑Ye~s Ly' No
Pump Required: ilYes ❑ No ❑ MM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LEI Public ❑ Well Distance from well feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: t~ fit,: /'Cer/u Date: G zd!/ SEE ATTACHED SITE SKETCH
The issuance of this permit li~the Health epin 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, .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. j~
ISSUED T0: vr.~oer- ~s ttic~ }~~a~~/ Lrtc PROPERTY LOCATI10 rS ~~+r~y~.~s>rhe 1~,•~•v~
SUBDIVISION / n~f,.,,~, : F- LOT # 8 Ca
Facility Type: S~ 'New ❑ Expansion ❑ Repair
Basement? ❑ Yes No (}Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: ~6 6 GPD
(See note below, if applicable ii
& 4 TG ~r~o /&d Repair)
Installation Requirements/Conditions Number of trenches Q-
Septic Tank Size von gallons Exact length of each trench '7S- feet Trench Spacing: 9 Feet on Center
Pump Tank Size /mod gallons Trenches shall be installed on contour at a Soil Cover: U - (d inches
Maximum Trench Depth of: /8-J0 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 inches below pipe
D / A regate Depth: inches above pipe
Conditions: # QA cAt-c~„ Ac o^' Coe\ (~"so- a t ~ inches total
v ➢ l C e c r-e~
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 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 chance in ownershia of the site. This
Lonstructeon 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. SEE ATTACHED SITE SKETCH
Authorized State Agent:- Date: G a2!t
Construction Authorization Expiration Date: / aGl~
HTE# - 02? L I_F
Permit # a 4,? 3
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION ~ -p LOT #
Authorized State Agent: Date: /G 12-VIZ-11
15q
~2 3~~
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: X'J//
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: C Auger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
1940
Landscape
Position/
Slope /o
orizon
Depth
(In.)
OIL MORPHOLOGY
.1941
1941 .1941
Structure/ Consistence
Texture Mineralogy
C_ lZf
P
1942
Soil
Was/
Color
THER
ROFILE FACTORS
.1943 .1956
Soil Sapro
D th IN. Class
944 Profile
Restr Class
Horiz & LTAR
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (
1948)f
Available Space .1945)
.
Evaluated B
:
S stem T
e(s)
Cu
y
Others Pre
t
Site LTAR
r
t
sen
: