IPACHTE#/1 S -"7&76 Harnett County Department of Public Health
Imurovement Permit 26541
A building permit cannot be issued with only an Improvement Permit
® PROPERTY LOCATION:/S .9~~~ >Z~
ISSUED 11`0 SUBDIVISION /4 T.> LOT # Z
NEW C7 RE R ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z't G% 06-bOL-Q-03 42-
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No /
Pump Required: ❑Yes El No 2 May,,be required qWd on final location and elevations of facilities r
Type of Water Supply: ❑ Community E7~ Public 2r Well Distance from well 166 feet Permit valid for: 21-rive years
Permit conditions: ❑ No expiration
Authorized State A nt:: t " Date: /0 - ZI -1, I SEE ATTACHED SITE SKETCH
The issuance of this permit by th 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, .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: ~t.e-, J0 -Jjy'~ PROPERTY LOCATION: Z;5 q /Z
SUBDIVISION LOT #
Facility Type: 19 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes [~KN o
Type of Wastewater System** Z's % Kr::-I)+/ 10 SQL.- (Initial) Wastewater Flow: GPD
(See note below, if applicable
0 2G i t3Z L - (Repair)
Installation Requirements/Conditions Number of trend es Z~
Septic Tank Size gallons Exact length of each trench = e) feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. 2Y 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 lv inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: `Z x I'Zt Cc .a t'_, s OYL N 801 e. S inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 subiect 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. SEE ATTACHED SITE SKETCH
Authorized State nt: Date: fa-2-y/
2 - L
Construction Authorization Expiration Date: /0-
HTE # - Z-7 6-7
Permit # 2(LISLe I
Harnett County Department of lNi blic Health
Site Sketch
PROPERTY LOCATON: 5 f'2,1,,~
ISSUED TO: L + b .O _ ZJU SUBDIVISION 7'--5 LOT # c2
.4 a
Authorized State Agent: f '7 t 1/ vL47,~ Date: 16-- ~ -11
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: l '2-1' `r
Proposed Facility:
tW Design Flow (.1949):(
Location of Site: Property Recorded:
Water Supply: ff~ublic❑ Individual ell
Evaluation Method• Auger Bori ❑ 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
1940
L
d
OIL MORPHOLOGY
.1941
H
i
THER
PROFILE FACTORS
E
#
g
1
an
scape
or
zon
Position/ Depth .1941
Slope /o (In.) Structure/
^~!r~3e& Texture
L.. 6 0-20 5..
.1941
Consistence
Mineralogy
s •W/'
.1942
Soil
Wetness/
Color
.1943
Soil
D th IN.
.1956
Sapro
Class
.1944
Restr estr
Horiz
Profile
Class
& LTAR
G
~C
7
C
jk_j
4t.
14 5
Description
Available Space .1945)
System Type(s)))
Site LTAR
Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):
Evaluated By:
2 - Others Present:
,