IPACHTE# /7 Harnett County Department of Public Health
Improvement Permit 26805
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~'y
ISSUED 0., g ~ - SUBDIVISION LOT # ~
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 10 6
Proposed Wastewater System Type: S:zs /tee:
Projected Daily flow: q& GPD
Number of bedrooms: ' Number of Occupants: Amax
Basement ❑Yes E No
Pump Required: ❑Yes ❑ No Z Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L!1 Public ❑ Well Distance from well feet Permit valid for: E~- ive, years
Permit conditions: ❑ No expiration
Authorized State A L v. Date: /Z U - It SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, .1951, .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: /rt/Z~ /T4, 7eZ PROPERTY LOCATION: s
SUBDIVISION LOT #
Facility Type: c L~ New ' Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E No
Type of Wastewater System** Z'„ ors (Initial) Wastewater Flow: qv6 GPD
(See note below, if applicable
Z'-S J4-b e(Re*r)
Installation Requirements/Conditions Number of trenches o,-,-- 3
Septic Tank Size M26 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench AP -10 c~ feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Z`i' 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
l~. 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. Jtt Al IALHt11 Mit MUCH
Authorized State A rert r . Date: J Z /f
Construction Authorization Expiration Date: I 'Z
HTE# ,f-5--7,43 Permit # .2 67 E 0
arnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ' ',15Y6 ZTd-)- ~ 46
ISSUED TO: SUBDIVISION LOT #
Authorized State Ag ~ Date:
1
c .
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: T-L
Address: Date Evaluated:
Proposed Facility: ►""OY~ Design Flow(. 1949): 9 Property Size:
Location of Site: ,_.,,%'PuProperty Recorded:
Water Supply: L1 blic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: [Auger Bori g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
.1942
E
Position/
Depth
.1941
.1941
Soil
.1943
.1956
1944
Profile
#
Slope %
(In.)
Structure/
Consistence
Wetness/
Soil
Sapro
.
Restr
Class
Texture
Mineralogy
Color
Depth (IN.)
Class
Horiz
& LTAR
,0
73
.fit."
/L aJ5 AJ()
c
i h/~ 5 r'
4vl?
d
6A U1;1
Yt-- *f '1 5 ~,E
Zv - O 'Gc 4-12 le_s 1-3C k jS 4
3 L rlv ®Z2 sc. ~t rs~
ZZ-tixLIJC~I~
`l L-~'-I- Z o 5'L
Description
Initial
System,
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space (.1945)
✓
Evaluated By:
System Ty e(s)
Others Present:
Site LTAR
L