IPACHTE# 1- Z?7,~z Harnett County Department of Public Health
hDrovement Permit 26546
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.5r"L/dc3& 0 a.✓l
3 4-,'Za'p
ISSUED TO: ~✓a`'-
SUBDIVISION 0K1eZYcQ
.5 LOT # _tq_
NEW 9-'
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z
5l6
Projected Daily Flow:
GPD
4
Number of bedrooms:
Number of Occupants:
o max
Basement ❑Yes
L±f No
/
Pump Required: ❑Yes
❑ No
~
L7 Mae required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
C7 Public ❑ Well Distance from well feet
Permit valid for: 2r Five years
Permit conditions:
❑ No expiration
Authorized State A Date: Ji 'q° it SEE ATTACHED SITE SKETCH
The issuance of this permit by Nealth 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 i 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: dd & d~ 5I
SUBDIVISION O ~ 4,}7)-~Q .5 LOT #
Facility Type: 3- New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 21o
Type of Wastewater System" -IJ ~ (Initial) Wastewater Flow: C _ GPD
(See note below, if applicable
Ck pair)
Z5-0/0
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions
Exact length of each trench / Zc) feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 211 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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: l 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 it 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 Agen : Date: it 8- it
Construction Authorization Expiration Date: 11-8, -1 Le
HTE# /I-S-- -1,1-192 -
Permit # Z b
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:AQ jW Cr C' 10 1Mrk-, r r20
ISSUED TO: SUBDIVISION ~`J r t -S LOT # ~
Authorized State Age : Date:
e~l
0 r.
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:
4-3-11
Proposed Facility: Design Flow (.1949):31, J
Location of Site: ~-y Property Recorded:
Water Supply: (Q Public❑ Individual ❑ Well
Evaluation Method:Ej-Auger Bori El Pit ❑ Cut
Type of Wastewater: 41 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941
L L
d
OTHER
PROFILE FACTORS
an
scape Horizon
E Position/ Depth .1941
# Slope /o (In.) Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
D th IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
I.~
7le~d
ar
Z X043 a. Z 5L-
C Sr~P
A ,
Zk, o-3,
Description Initial Repair System Other Factors (.1946):
S sterd Site Classification (.1948):
jAvailable S ace .1945) Evaluated By:
em T e(s) Others Present: