IPACHTE# I 1171 Harnett County Department of Public Health
ImDrovement Permit 27389
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 69,14q i 6'� 'Q j `1F
ISSUED TO: SUBDIVISION � S LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 6r-t>
Proposed Wastewater System Type: 2'
Projected Daily Flow: c GPD
Number of bedrooms: Number of Occupants: (t-1 max
Basement ❑Yes
Pump Required: ❑Yes El No 2 Ma e required based on final location and elevations of facilities
Type of Water Supply: El Community �I Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State ent --° --! T Date: — f `' .._t� SEE ATTACHED SITE SKETCH
The issuance of this permit by th th 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 T0: ��- PROPERTY LOCATION:`�f
SUBDIVISION Yn�.,c?,� LOT_
Facility Type: 2/New xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Z No
Type of Wastewater System** ���t°�Z3 �� (Initial) Wastewater Flow: S& GPD
(See note below, if applicable ❑)
w,, 4n 2,--, r y (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size / 06 C-5 gallons Exact length of each trench / feet Trench Spacing: - Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. 20 ) d inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
Z inches above pipe
2... inches total
* *If applicable: /under fond the system type specified is different from the type specified on the app lication. /accept the specification of thi 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 chance in ownershia of the site. This
Construction Authorization is
Authorized State
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
i Date: '5-� 0 13
Construction Authorization Expiration Date: 57— 10 t
HTE# 1 V-79
Permit # . 2 7-3 22
Harnett Counti T Department of Public Hel,rdth
Site Sketch
I
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:
Proposed Facility: Design Flow (.1949)3� z- Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Bo g ❑ Pit F1 cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
Initial
System
Repair System
Other Factors (.1946):
Site Classification ( 1948): (s
Evaluated By:
Others Present:
Available Space(. 1945)
R
System Type(s)
L
L
O
SC.
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
%` JY,
Texture
Mineralogy
Color
Depth (IN.)
Class
Horiz
& LTAR
j
J
r^
o b ZY� i L4
r
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification ( 1948): (s
Evaluated By:
Others Present:
Available Space(. 1945)
System Type(s)
L
L
MZd
SC.
%` JY,
'�/` /
ee
J'
3�s--3t
r^
o b ZY� i L4
r
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification ( 1948): (s
Evaluated By:
Others Present:
Available Space(. 1945)
System Type(s)
Site LTAR