IPACHTE# ! " �. -.31 S -7 s- Harnett County Department of Public Health
Imarovement Permit 27 563
A building permit cannot be issued with only an Improvement Permit
PROPERTY LO(ATION:67Z 1416 3 F a w
ISSUED T0: SUBDIVISION y LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ---� r-b
Proposed Wastewater System Type: C,!�;-/a iW 3U ,3
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ❑ No
Pump Required: ❑Yes ❑ No ❑ MM,a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for Z Five years
Permit conditions: ❑ No expiration
Authorized State A Date: S '44 —1.3 SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth 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 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, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall he installed in accordance
with the attached system layout.
ISSUED TO: r S /f` PROPERTY LOCATION: 6 Ltjg43
SUBDIVISION LOT # `?
Facility Type: E21' New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" zis- % (2411!10 u—Lo1 551 �5 (Initial) Wastewater Flow: q g GPD
(See note below, if applicable ❑)
25-- j),o k4— (Repair)
Installation Requirements /Conditions Number of tren6es 3
Septic Tank Size _IQU 0 gallons Exact length of each trenc— feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 7-1 inches
Pump Requirements: ft. TDH vs.
Conditions:
(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)
Aggregate Depth:
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.
4 inches below pipe
Z-- inches above pipe
L inches total
* *If applicable: /understand the system type speciTed is different from the type specifled on the application. / accept the specipcationr 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 Ott AI IALM MIt MILL
Authorized State A nt: Date: 6 —1q ` f
Construction Authorization Expiration Date: 9a—j 1 —(3
HTE# Permit # 7 "5eo
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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): ! _j Property Size:
Location of Site: Property Recorded:
Water Supply: 0'-Pblic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ❑ -Auger Bori ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process ❑ Mixed
P
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): i�5
Evaluated By
Others Present:
Available Space(. 1945)
R
System T e(s)
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
Color
Depth (IN.)
Class
Horiz
& LTAR
w
LLB
Cdr
a.
k
30
s
266 2
-e 6
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L�
-3).
SL
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): i�5
Evaluated By
Others Present:
Available Space(. 1945)
System T e(s)
Site LTAR
i '�