IPACHTE# / "3--5-3 571L 8 Harnett County Department of Public Health
urovement Permit 27 643
Im
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 7
ISSUED TO• di SUBDIVISION 7—', LOT # a!I
NEW REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5FO q0 K S-.7
Proposed Wastewater System T pe: Q-,P
Projected Daily Flow: H�0 GPD
Number of bedrooms: 5t Number of Occupants: max
Basement [--]Yes 5?"No
Pump Required: CKes ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: O'l'ive years
Permit conditions: ❑ No expiration
Authorized State Agent::,/ -'Fff/ Date: /Z // 9 f 2667 SEE ATTACHED SITE SKETCH
The issuance of this permit by a Health 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: PROPERTY LOCATION: a
SUBDIVISION 7— `',, a �� <-��� LOT #PZII
Facility Type: 1+wb Z--'New ❑ Expansion ❑ Repair
Basement? ❑ Yes I "No Basement Fixtures? El Yes Q No
Type of Wastewater System ** A,.,p - 1- G„2S�% �c� VD (Initial) Wastewater Flow:
GPD
(See note below, if applicable ❑)
"J— , 1. (Repair)
Installation Requirements /Conditions Number of trenches /
Septic Tank Size /0043 gallons Exact length of each trench „2-7 U feet
Pump Tank Size /000 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: / 8- 7, Y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: y Feet on Center
Soil Cover: 6-/2- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTI( 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 spec is different from the type speciped on the application. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site olan. plat. or the intended use chances. The Construction Authorization shall not be transferred when there is a chance in ownershin 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
Authorized State Agent: Z�tC d Ffr Date: Z2�- /1 G/�
Construction Authorization Expiration Date: /a-f
HTE# /_7 —J — 15-0 Permit # 27C1,�?
Harnett C on ty, Department of tblie Health
Site Sketch
PROPERTY LOCATON: a2 7
ISSUED T0: A.—I—ir SUBDIVISION LOT #
Authorized State Agent: . Date:
1,14
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77
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:/ 2 (/ T ��
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method: Auger ring ❑ Pit ❑ Cut
Type of Wastewater: `� Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
S
S��!rir`��ff�
�1
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): 'PI
Evaluated By: "i
Others Present:
Available Space(. 1945)
System Type(s)
s2
Site LTAR
/
S