IPACHTE# C/ Harnett County Department of Public Health
Improvement Permit 26769
A building permit cannot be issued with only an Improvement Permit
~-•AJG PROPERTY LOCATION:
ISSUED TO VV 14
AU'J SUBDIVISION I<~ c .,l cs ~-,at I' LOT #
NEW W RE AIR ❑ EXPANSION ❑
Type of Structure: Y6 XS~
Proposed Wastewater System Type: &5-7-
e~cuc.1
Projected Daily Flow: 418 C~ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes YNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes 12 No ❑~Ma~be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L~' Public ❑ Well Distance from well feet Permit valid for: El Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: J~/~,/5,~.a Date: /ll f~f ate!/ SEE ATTACHED SITE SKETCH
The issuance of this permit by rhE 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. ff
ISSUED TO: J GJ U V PROPERTY LOCATION: fe
SUBDIVISION /1n can r- /I I LOT # &
Facility Type: L2r New ❑ Expansion ❑ Repair
Basement? ❑ Yes [moo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** d-_SX ~-v S S%& (Initial) Wastewater flow: y 8 Q GPD
(See note below, if applicable d
02S"`~~
4e4 Dc-P. c,. f Z ee+-~ (Repair)
Installation Requirements/Conditions
Number of trenches '7t
Septic Tank Size / 60 0 gallons
Exact length of each trench y feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 18' 3() inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: L -1 Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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 specired 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 ownershin of the site- This
Lonstruction 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: p
.tea - Date: ~Gl/
Construction Authorization Expiration Date: ` a
HTE# S-° oZ-77L/ Permit # ~-7 6 ~
Harnett (bounty ]Department o Public Health
Site Sketch
PROPERTY LOCATON: = re-
ISSUED TO: S~.v v V A SUBDIVISION LOT # ~
Authorized State Agent: z~ „tea.,. ~E f Date:
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:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Y~ Public[] Individual ❑ Well
Evaluation Method:[1AugerBor' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Other
❑ Mixed
P
R
O
F
I
1940
SOIL MORPHOLOGY
OTHER
L
.
Landscape
Horizon
.1941
PROFILE FACT
E
#
Position(
Slope %
Depth
(In.)
1941
Stnicture/
.1941
Consistence
.1942
Soil
.1943
Wetn
/
Texture
Mineralogy
Soil
ess
Soil
Color D th IN.
z7
r 2°
'G-U(,~
C,4)r 15?_w 1
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