IPACHTE# /f- - 776 7 Harnett County Department of Public Health
Improvement Permit 26542
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1"76 ? t3eXG0/3~2.1 12-0
ISSUED TO: i SUBDIVISION 6 e e =4r- 1^ LOT # -3 J
NEW 9 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 F-D
Proposed Wastewater System Type: ZS'/, ize-0 v u'Lr g f- .
Projected Daily Flow: (00 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑YOes Pump Required: ❑ No ❑ Mae required based on final location and elevations of facilities ~
Type of Water Supply: ❑ Community Lt( Public El Well Distance from well feet Permit valid for. 0 Five years
Permit conditions: ❑ No expiration
Authorized State A ° 64- Date: /0 -2"- t` SEE ATTACHED SITE SKETCH
The issuance of this permi y e 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 revocatio 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: PROPERTY LOCATION:. U`70 ? k)C°% cW.;r5
SUBDIVISIONeI ;7/ LOT #
Facility Type: F7 /New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2N o
Type of Wastewater System" rke- ~v Z6-4l0 1 _ s (Initial) Wastewater Flow: bO GPD
(See note below, if applicable ❑
!i ~ / (Repair)
Installation Requirements/Conditions Number of trenches -3
Septic Tank Size f [rte gallons
Pump Tank Size t~ C gallons
3 YZ 115,--LL! a vas
0-,j e- Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench /0Q feet Trench Spacing: I Feet on Center
Trenches shall be installed on contour at a Soil Cover:. inches
Maximum Trench Depth of: f-v-=71inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
GPM
Aggregate Depth:
6 inches below pipe
'Z- inches above pipe
f z--- 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: /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 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 AI (ACHED SITE SKETCH
Authorized State A ~ 4'k"'-~Oa Date: /0 `
99~~ Construction Authorization Expiration Date: f 0 7~'~-f
HTE# Permit # Z LfZ.
Harnett County Department of Public Health
Site Sketch
lip
C L
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: 7~Z
Address: 6 j~ o
Date Evaluated: /
Proposed Facility: ~j-y- t _ Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual Well
Evaluation Method: Auger BoVA9 ❑ Pit ❑ Cut
Type of Wastewater: (Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
SOIL
MORPHOLOGY
OTHER
L
.
Landscape Horizon
.1941
PROFILE FACTORS
E
#
Position/
Slope %
Depth .1941
(In.
Structure/
1941
Consistence
1942
.
Soil oil 1943 1956
Wetness/
.1944 Profile
Texture
Mineralo
Soil
Sapro
Color D th IN. Class lass
Restr Class
L
Horiz & LTAR
~ t`.~1J fiJ JTl
l
r
l
l
d a `f G /Lj
G fZ X3 N
~
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s 3
6P L
"
1--2®'eu
C-fg 5L_
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Description
Initial Repair System Other Factors (.1946):
Available Space .1945)
S stern
Site Classification (.1948): C
System T
e(s)
yp{- ' ( Cb'~~
✓
Evaluated By:
Others P
t
Site LTAR
.519-.3
~
e
resen
: