IPACHTE# ..,5— 31 `Z Harnett County Department of Public Health
Imurovement Permit 27567
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 6 u p
Proposed Wastewater System Type: 25%t iJU '-
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 0 Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: [21 ive years
Permit conditions: ❑ No expiration
Authorized State Age ' ` Date: �-2 3 - i SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 ite 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 be installed in accordance
with the attached system layout. J
ISSUED TO: .. r 1.._ Is �-� / PROPERTY LOCATION: 62 /YJ 9 0 rr� /
SUBDIVISION LOT #
Facility Type: ( kjnq 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System'* Zt5_ 41c' i ',�> V (A � (Initial) Wastewater Flow: �,,'�_ GPD
(See note below, if applicable ❑) `
epair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 1000 gallons Exact length of each trench f_0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: J. inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: v 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
*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 IAL11tU Mit MILH
Authorized Stat " ent: Date: 13 �-f 3
Construction Authorization Expiration Date: 0c. -2 --3 —/
HTE# 13 -"5- 3 1 aA '2-. Permit # 2,75-6-7
Hfarnett County Department of Public Heajltll
Site Sketch
PROPERTY LOCATON:6?Zjq/e 12e-usc ,
ISSUED TO: 3, 6e-14wl — SUBDIVISION LOT #
Authorized State Age4��� Date: Z-3-13
61
4&
zkM9
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIUSTTE EVALUATION Code:
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Eval uated: ` �2--
Proposed Facility: Design Flow (.1949): 3' Property Size:
Location of Site: Property Recorded:
Water Supply: O`P4blic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method. 2--Auger Boring fJ Pit ❑ Celt
Type of Wastewater: � ge ❑ Industrial Process ❑ Mixed
Site Classification (.1948):
Evaluated By: L2—
Others Present:
P
R
O
F
SOIL MORPHOLOGY
OTHER
i
.1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
.1942
E
Position/
Depth .1941
.1941
Soil
.1943
.1936
.1944
Pro file
#
Slope %
(la.) Structure/
Consistence
wetness/
Soil
Sapro
Restr
Class
Texture
Mineraloxy
Color
IN.
Class
Horiz
I & LTAR
a3
-7
0-
�
10
�t
- '�'.di tea I Z
vim`s
Site Classification (.1948):
Evaluated By: L2—
Others Present: