IPACHTE# Zr85I Harnett County Department of Public Health
Improvement Permit 26316
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Old Uf L/ ;Q
ISSUED T0: SUBDIVISION LOT #
NEW V REPAI ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: =S~t~8
Proposed Wastewater System Type: its 1~ ~~e~fuc ~c Trl~
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: (max
Basement ❑Yes Z No
Pump Required: ❑Yes VNo ❑ May be required bid on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ICJ' Well Distance from well feet
Permit conditions: 7r --t
Permit valid for: ErFive years
❑ No expiration
Authorized State Agent:: A4,-, 4q,~ ~~f~ Date: f Z~'t/ _ SEE ATTACHED SITE SKETCH
The issuance of this permit by tfie 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, .1957, .1958. and .1959 are incorporated by references
into this permit and shall be met. Systems shall be installed in accordance
with the attached sys
em layout.
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ISSUED TO: `/fc.,c&
-
PROPERTY LOCATION: 0/cf QJ k
SUBDIVISION
LOT #
Facility Type: SF -0
ZNew ❑ Expansion ❑ Repair
Basement? ❑ Yes CI"'No
Basement
-
Fixtures? ❑ Yes ❑ No
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J
Type of Wastewater System
9-5
L,
tc 1-1
1 ,11
-.r
(Initial) Wastewater Flow: GPD
(See note below, if applicable
oZJ-lv
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c t c -~y j T~ (Repair}
Installation Requirements/Conditions
Number of trenches
Septic Tank Size Oog
gallons
Exact length of each trench feet
Trench Spacing: 9 Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: 8- 2 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 inches below pipe
~ / f / / / Aggre to Depth: inches above pipe
Conditions: /'lCt.~ ke' G.`t _Ws-(- L"~d~%f 7~•~~ i~ k /-4 4` C~ 1ica i 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: l understand the system type specified is different from the type specified on the application. l 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 AI IAL11tU Jilt JRtM
Authorized State Agent kc &r Date: / 1'k J
Construction Authorization Expiration Date: _ a S ~y
HTE# 1d-~&~I Permit # o2,
arnett County Department of iblic Health
Site Sketch
PROPERTY LO(ATON:
ISSUED TO: y , r SUBDIVISION LOT #
Authorized State Agent: , Date:
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Depadment of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater section Lot
SOIIJSTTE EVALUATION File
Code:
for ON-SITE WASTEWATERSYSTEM
Owner Applicant:
Address: Date Evaluated: il. 1,
Proposed Facility: Deslgn Flow (.1949): Property Size:
Location of Site: Prop" Recorded:
Water Supply: lia ❑ hxNdual ❑ Well ❑ Spring ❑ Other
Evaluation Method: B/XAugerBoring ❑ Pit Cut
Type of Wastewater: Sewage ❑ Industrial Process HINxed
P
R
O
P
SOIL IMORPHOL00Y OTHER
1
L
.1940
L ukftpe
Horizon
1941 PROFILE FAOTORR
E
Poeitiad
slope %
Depth
(1n.)
.1941
stuchow
1941
.1941 soil 143 .1956
Contidemke Wetnaal soil
.1944 Profl1®
6
TOM"
~
sapro
Minm1o Color IN, Clap
_MAA
Re* CLn
Hair, ALTAR
7
r
6-
A)~P
/7 -3J
lfcl
/I J'ff
0- vz
. ~ z C-- I
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Deraiptiou
Initial
Repair sydem Mew Factors (.1946k
Available Spits 1943
.
s °t01q
Site Clasai6cadou (.1948k A
s dams a
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1 Evahwted By:
c
she LTAR
, cm
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Other, hemt: