IPACHTE# ' - Harnett County Department of Public Health
ImDrovement Permit 2 6 41 2
A building permit cannot be issued with only an Improvement PWit
PROPERTY LOCATIO , (r(~
ISSUED TQI,~ Z-it)' SUBDIVISION LOT #
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe: [ .~?ea
Projected Daily Flow: O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes IZIN
//1
Pump Required: ❑Yes ❑ No L~ Ma ee required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IZ Public ❑ Well Distance from well feet Permit valid for: 12'1ive years
Permit conditions: ❑ No expiration
Authorized State g~eat:_- G s/L/ Date: "'i SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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. y
ISSUED TO: efvl V PROPERTY LOCATION: f}
SUBDIVISION LOT # ~Z
Facility Type: / New Expansion ❑ Repair
Basement? ❑ Yes Ej~ No Basement Fixtures? ❑ Yes LJ No
Type of Wastewater System** ?s%IZ>;L 5-- / (Initial) Wastewater Flow: GPD
(See note below, if applicable
Z C-r&N) (Repair)
Installation Requirements/Conditions Number ofAches 4
Septic Tank Size 40d 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 6 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: '1 Y inches
(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)
4 inches below pipe
Aggregate Depth: 2- inches above pipe
112- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 1OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type speciTed is different from the type speciped 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 SEE ATTACHED SITE SKETCH
Authorized State 757/~~~~ Date: Z.c-J '-11
Construction Authorization Expiration Date: 'Z..° 5 / d
HTE# Permit # f
Harnett County Department of Public Health
Site Sketch.
PROPERTY LOCATON:
ISSUED TO: SUBDIVIS" LOT #
Authorized
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Department of Emrimnment Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot e
SOILdSITE EVALUATION File fl:
for ON-SITE WASTEWATER SYSTEM: Code:
Owner Applicant: S I'7bu L"
Address. Date Evaluated: Z--i-11
Proposed Facility: s 1Z~6 Design Flow (.1949):; Property Size:
Location of Site. Property Recorded:
Water Supp[p; (Pybi ❑ Individual ❑ Well
❑ Spring ❑ Other
Evaluation Method: er Boring ❑ Pit Cut
Type of Wastewater: ew, ge ❑ Industrial Process l~fixect
P
R
O
F SOIL MORPHOLOGY OTHER
[ .1940 .1911 PROFtLB FAiCTORs
L [.aadaaw Horizon
E Poaitad 1941
Depth .1941 .1941 Soil .1943 .1976
tl Slop. % (ho sbuch" Consbteame wetness! Soil Sapro
Taxi= Mtnanlo Color IN. clan
4 4. v
JC4
.1941 Pfoltl®
Re* clan
Hods. A LTAA
I
Mar Factors (.1946)
Site ClaWcation (.1948)
Evaluated By:
Others Presentt.