IPACHTE# /3 Harnett County Department of Public Health
Imurovement Permit 27250
A building permit cannot be issued with only an Improvement Permit
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PROPERTY
ON LOCATION: t Z
ISSUED TO:
LOT # 1 1 "7
NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 1 � '40
Projected Daily Flow: 3 GPD
Number of bedrooms: -3 Number of Occupants: max
Basement ❑Yes,, 5?0 —
Pump Required: 13 res ❑ No ❑ May be required based on final location and elevations of facilities ,�
Type of Water Supply: El Community ET'-Public El Well Distance from well feet Permit valid for: 21 Five years
Permit conditions: ❑ No expiration
g '� 2— " .G�! 0 SEE ATTACHED SITE SKETCH
Authorized State A enter �--�� ✓ Date:
The issuance of this permit byte ealth 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, .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: •- I i. `t PROPERTY LOCATION: 2*1 14 11 •b
SUBDIVISION 6 -Lg� ; LOT # 1
Facility Type: 1 ZNew ❑ Expansion ❑ Repair
Basement? ❑ Yes 2f No Basement Fixtures? ❑ Yes LJ No
Type of Wastewater System ** Irrl or .: (Initial) Wastewater Flow: 34c50 GPD
(See note below, if applicable ❑)®
/? 40 2- 1� (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size /060 gallons Exact length of each trench 60 feet Trench Spacing: Feet on Center
Pump Tank Size / 00 0 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. ?!4Z-2-0 inches (Maximum soil cover shall not exceed
�� %Z`t �(��j (Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: - inches above pipe
Conditions: / Z- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: /under fond the system type specified is different from the type speciped on the application, l accept the specircatiox 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
— � 6 —/ 3
Authorized State Agen . �-- �. -�.. -a _ Date: IbL
Construction Authorization Expiration Date: Z — Zf? T
HTE# Permit # c.2 77 P 5 0
Mftrnett County Del)(11-fille"t Of Public Health
Site sketch
of
A cj
0
5
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:
Address: Date Evaluated: Z f- raj
Proposed Facility: bF4) Design Flow(. 1949): Property Size:
Location of Site: Property Recorded:
Water Supply: ErPublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:[l"Xuger Boring ❑ Pit ❑ Cut
Type of Wastewater: Q' Sewage ❑ Industrial Process ❑ Mixed
P
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
R
System Type(s)
.711_4r__
Site LTAR
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
I Color
Depth (IN.)
Class
Horiz
& LTAR
G
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
.711_4r__
Site LTAR
,.�