IPACHTE# of - ~Z Harnett County Department of Public Health
hDrovement Permit 2 6 41 4
CjAj~ ' ermit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:. '7%
ISSUED T r2 SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: &Z-& C t`z i~'
Proposed Wastewater System Type: 7 -s-61Z, ~~.11-6 Z
Projected Daily Flow: 7 ' GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes C'S No
Pump Required: ❑Yes ❑ No L_'_f"Ma required based on final location and elevations of facilities /
Type of Water Supply: ❑ Community Lit" Public ❑ Well Distance from well feet Permit valid for: Q"Five years
Permit conditions: ❑ No expiration
Authorized State Age:: G v , - - Date: Z ° /I SEE ATTACHED SITE SKETCH
The issuance of this permit by 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.
RTY LOCATION: Z7
ISSUED T0: t~ r fI I s~G <S-7s /No
A ISION LOT #
Facility Type: -Aly New pansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Y Type of Wast
ewater System** Z-5'.X 1 - ,L -.5r~~5 a- (Initial) Wastewater Flow: GPD
_
(See note below, if applicable Ad7J
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench feet Trench Spacing: I' 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
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Aggregate Depth:
4 inches below pipe
Z inches above pipe
/ Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 subiect to revocation if the site Dian. Dlat. or the intended use changes. The Construction Authorization shall not be transferred when there is a chancre 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 Age Date: z- 14,, - /
Construction Authorization Expiration Date: 7 - / /'(o
HTE# Permit # 2tl
Harnett County Department of Public ealth
Site Sketch
/ PROPERTY LOEATON: I76I
ISSUED TO: /ryr%ll~%>~v.r. G 'lJ SUBDIVISION LIT
Authorized State Age • Date: Z
- t sib r-11
1731 141l
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM ~
~
Sheet:
Property ID:
Lot
File €ai:
Code:
Owner. Applicant: i-a-0 zP-" ~5 r
2-
Address: a Data Evaluated 2'Z-"
Proposed Fudityr: Design Flow (.1949): 01) Propertp Size:
Location of Sits Property Recorded:
Watet supply: Ff~ lit: El hxwdual ❑ Well ❑ Spring C1 Other
Evaluatlon Method: Auger Boring ❑ Pit Q. cut
Type of Wastewater. ewage ❑ IrdwWal Process U Mixed
P
R
O
F
SOIL
MORPHOLOGY
OTHE
1
L
.1940
Lxmb sp
e Horizon
.1941
R
FU S FAG"CORR
9
Position/
Slope iii
Depth .1941
(1n
) st
w
.1941
1941
soil .1043 .1956
.1944 11mm i
.
rucKu
Texhpe
Consistence
Nflumlo
wetnud soil Sapro
Color
~
Re& CAN
. C1aa
Hans. A LTAR
Z t-
ASP
7~1•`i
X-& wo
all
d SZ
6ig 10-rOP
DescripttOR
[mills) Rapair 3y Other Factors 1946k
Avsilabfe s ea
1945
.
System
site ClawiBcadon (.1948k
-&d-em Type(l)
Evehuted By.
Sift LTAR
i, L4
L,
Othas Present..