IPACHTE# &f- 5' o27 e k y
ISSUED TP, R'tC "t A~
Harnett County Department of Public Health
Improvement Permit 2 6 7 7 4
A building permit cannot be issued with only an ;71 ovement Pgrmit
/L PROPERTY LOCATION: r..l't 51 o ~ a~4
SZon. SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
6
Type of Structure: M H 026 2(
Proposed Wastewater System Type: Nt--p t v i re +Q ¢~u : c,. yr
Projected Daily Flow: 3 6 C GPD
Number of bedrooms: 5 Number of Occupants: U max
Basement ❑Yes Rlko
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Oyes ❑ No ❑ Ma be required based on final location and elevations of facilities ~
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: 2'ttve years
Permit conditions: ❑ No expiration
Authorized State Agent: /CC/T-/ Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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
Reouired 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: 12q-,k
i`/>t = h CIe,,oA PROPERTY LOCATION: ~o✓ f~ ~dt~c ~j~,~~Q ,/Z~Q.
SUBDIVISION LOT #
Facility Type: 11114 12/"New ❑ Expansion ❑ Repair
Basement? ❑ Yes No pBasement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** L~ y 025 rd /~aoc jJ~~A (Initial) Wastewater Flow: 3 G GPD
(See note below, if applicable
f ~ (Repair)
Installation Requirements/Conditions Number of trenches 0-
Septic Tank Size /000 gallons
Pump Tank Size /010 0 gallons
Pump Requirements: ft. TDH vs.
Conditions: (:~i OA
-~--1-J-- 5-VF 14 - ~cs.1/o
Exact length of each trench '7J- feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 02 q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM l L
f' . el ""o K ~ f-V 4-- - +0 r'R ~ 6c-
Trench Spacing: Feet on Center
Soil Cover: 4L 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type specifed 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, slat 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 Agent: Date: /z' l6 /-Z Q/I
Construction Authorization Expiration Date: ,6 Via/
HTE# R::6Z'I Permit # k''? 7 ~
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: tl,~,j-l v z- hL~4 rAe,-Q.
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent: ego:.. C f Date: /C 12-c1/
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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: Public❑ Individual ❑ Well
Evaluation Method:® Auger Boxing ❑ Pit ❑ Cut
Type of Wastewater: a 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 1943
1956
Wetness/ Soil
.1944 Profile
Texture
Mineralo
Sapro
Color D th IN. Class
Restr Class
Horiz & LTAR
Q)
Y7 dc~
Description
Initial Repair System
Other Factors (.1946):
Available Space .1945)
S stem
Site Classification (.1948): Pj
S stein Ty e(s)
Site LTAR
Evaluated B
: £3r-
Others Present: