IPACHTE# /j'~'oZX719 Harnett County Department of Public Health
Improvement Permit 2 6 7 7 3
A building permit cannot be issued with only an ImprovemeJJ~~t--Per it
/ f PROPERTY LOCATION- /K c--
ISSUED Fes'
T : SUBDIVISION o'Q Der _-r-I-F LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3-F 0 S. y ~a
Proposed Wastewater System T pe: 0_5-,7 fUSt~~-
Projected Daily Flow: ~ 6 GPD
Number of bedrooms: 3 Number of Occupants: L max
Basement ❑Yes CJ NNoo~
Pump Required: ❑Yes Its No ❑~Maa e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LJ Public ❑ Well Distance from well feet Permit valid for: LR'Five years
Permit conditions: ❑ No expiration
Authorized State Agent::/~~-~ o=.-.._ /ee ffJ Date:
41~ o!/ SEE ATTACHED SITE SKETCH
The issuance of this permit by f Health Department in 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. - l M
ISSUED T0: L~ sf/1 ~itlrv c"' PROPERTY LOCATION:
SUBDIVISION Coo Q.-1- 6, cm,/' LOT #
Facility Type: -5-F D 16o X yv R(New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** /Zed (Initial) Wastewater Flow: G GPD
(See note below, if applicable
gs J .ee - • o~ ~is'r<= (Repair)
Installation Requirements/Conditions Number of trenches .2-
Septic Tank Size /)0 y gallons Exact length of each trench 7S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: o24-00 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: loZ 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 specified on the application. / accept the specipcations 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 ATTACHED SITE SKETCH
C
Authorized State Agent: f~ Date: a a~i
Construction Authorization Expiration Date: /6
H T E # 6-- a?>/
Permit # aZ k. 7 7 3
Harnett County Department of ilic Health
Site Sketch
( PROPERTY LOCATON: ,.r k ),Pj.
ISSUED TO: yd.,i SUBDIVISION oa c, r I LOT #
Authorized State Agent: /~L, Date: l/111~1 `2°1111
.2
I -A is G .U et q_
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: f `
Address: Date Evaluated: //'A Xo//
Proposed Facility: Design Flow (.1949):
Location of Site: / Property Recorded:
Water Supply: / E Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Borxfg ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
0
F
I
1940
SOIL MORPHOLOGY
OTHER
L
.
Landscape Horizon
.1941
PROFILE FACTORS
1942
E
#
Position/ Depth
Slope % (In.)
.1941
Structure/
.1941
Consistence
Soil .1943 .1956
Wetness/
Soil
Profile .1944
Texture
Mineralogy
Sapro
Color D th IN. Class
Restr estr Class
Horiz & LTAR
A//V
f
7(~
Description Initial Repair System Other Factors (.1946):
S stem
Site Classification (.1948):
5'
Available Space .1945)
S stern T e(s)
,
Evaluated B Q,-
Site LTAR
°
Others Present: :