IPACHTE#Ll 5 Z5- Harnett County Department of Public Health
Improvement Permit 2 6 4 0 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO • C163)
ISSUED TO SUBDIVISION ZeZ)P f1 A) LOT # j
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ploirld
Proposed Wastewater System Type: Z- /v iZ4q-0&Z
Projected Daily Flow: 34;,D - GPD
Number of bedrooms: 3 Number of Occupants: 1 max
Basement ❑Yes L" No
Pump Required: ❑Yes ❑ No Q Mwbe required sed on final location and elevations of facilities
Type of Water Supply: ❑ Community Public Well Distance from well feet Permit valid for. /Five years
Permit conditions: ❑ No expiration
Authorized State Ag • l r`r Date: / 'Z" ~ SEE ATTACHED SITE SKETCH
The issuance of this permit b th 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. j_
ISSUED T0: .&/& 6 13,x4 Y PROPERTY LOCATION: / ~5a / 1,5 10.6
SUBDIVISION X LOT # /
Facility Type: b U' li~ New Expansion ❑ Repair
Basement? ❑ Yes ' No Basement Fixtures? ❑ Yes A io
Type of Wastewater System** 22'1/ i ~ rJC,7Lr lI s 3> - (Initial) Wastewater Flow: GPD
(See note below, if applicable
sue--
- ,r---r - ,
Installation Requirements/Conditions Number of trenches
Septic Tank Size , gallons Exact length of each trench <2e~ 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.- . inches (Maximum soil cover shall not exceed -Zb (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: Z. inches above pipe
Conditions: inches total
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.
**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 chances. 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
Authorized State Date: f Z 0 / J
Construction Authorization Expiration Date: C
HTE# -2588) - Permit # ! Ze- 2
Harnett County Department of IN-iblic Health
Site Sketch
_ PROPERTY LOCATON~/9`/ 7 /2~ ObX 126
ISSUED TO: ~C C2/- SUBDIVISION Ze7)4= LOT # O
Authorized State A ent: Date: ZO-//
Department of Ewamn nen% Health and Natural Resources Sheet:
Division of Environmental Health Property 1D:
On-Site Wastewater Section Lot Property
SOILJSITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM: Code:
Owner Applicant: ; 52,r, ate
Address:
Date Evaluated
Proposed Facility: , Design Flow (.1949): ~L b Property Size:
Location of Site:
Prop" Recorded:
Watet 5uppI r
❑°Pubh6 ❑ Individual ❑ Well ❑ Spring ❑ Other
'
Evaluation Method:
U
Auger Boring ❑ Pit Cut
Type of Wastewater.
Sewage ❑ Industrial Process l~fixatlr.
P
R
O
F
SOIL MORPHOLOGY
1
L
.1940
Landsmpe
Horizon
.1941
PROFILt FACTOR,
9
4
Posidow
Slope %
Depth
00
.1941
.1941 .1941 Soil .1943 .1996 .1944
structtvw/ Corulstem Wetnesd soil
Proms
Sapre Re*
Texhnw Miamlo Color C1an Hons.
CIaM
A LTAM
30
L39°Co 6 3a
15C
12-
J
6--
7
3~,
5--
:jam ~ 7 y'L
3
~L 6-tv AlWj
Descri on f
ari
ial
Repair system Other Factors (.1946)
a
s
Avsilabl. S04 a , t9as
Site ClauiHcadou (.1948) F~
A steers a
Evaluated By
An* LIAR _
, - Others Prexnt