IPACHTE# `I_5.9V i 1 Harnett County Department of Public Health
Improvement Permit 2 6 8 6 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~A P,c4-.-, L5 o ns ?D
ISSUED TO: 1, l-I-N P, M 0oy t_F SUBDIVISION LOT #
NEW,K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M A~l , Vkoc,, Cr 0'nL1
Proposed Wastewater System Ty e: Carry Ern , d NAt-
Projected Daily Flow: 3 2 ® GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes V No
Pump Required: ❑Yes ;,No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community V Public ❑ Well Distance from well LC)O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 'Qbl\ Date: N'.k1 Dzq I N SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees -'the-' e e of other permits. The permit holder is responlible 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 Impro went 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 .19.50, .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: W ~)0-1 LC-- PROPERTY LOCATION: V` P,MA L:10
SUBDIVISION LOT # a,
Facility Type: T'N tati New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes 'XNo
Type of Wastewater System** C-0 rtv s.r'5 cs N A t_
(See note below, if applicable
r N I«-rv;1v (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Lo CG gallons Exact length of each trench -7S- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1~'Z inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: GPD
Trench Spacing: Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
6 inches below pipe
a. 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: I understand the system type speciped is different from the type speriTed on the application. l accept the specifications of this permit.
Owner/Legal Representative i ture: Date:
This Construction Authorization is subject to revocilln- the site 'NIP 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 sue _ compliah ithr of Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~1S Date: 1-Z, ~ 1)
Cons ction Authorization Expiration Date: F1
HTE # 1 t ° y°'.N~bLl 1 Permit #
Harnett County Department of Public Health
Site Sketch
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot Property
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 > .CZ%h (5 f,~ Design Flow (.1949): Property Size:
Location of Site: Property Recorded: ~P
Water Supply: Public❑ Individual El Well ❑ S rin
Evaluation Method~f u o 'ng ❑ Pit p g ❑ Other
❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
(In.)
Structure/
Texture
Consistence
Mmeralo
Wetness/
Color
I
5
7 . \ d°)d
vpt ~'J5\ q'
G2_
Soil
Description Initial R air System Other Factors (.1946):
Available S ace .1945) S st Site Classification (.1948): 45
S stein T e(s) Evaluated B
CRS L N y:<K
Site LTAR Others Present: $
I
.1940
1941
OTHER
L
Landscape
Horizon
P
ROFILE FAC
E
Position/
Depth
.1941
.1941
.1942
Soil
#
Slope %
.1943
.1956
.1944 I Profile
Restr Class
Horiz & LTAR
P5
Q