IPACHTE#-.//°_ ~ 264=7 Harnett County Department of Public Health
Improvement Permit 26419
A building permit cannot be issued with only an Improvement Permit
%ti
PROPERTY LOCATION:
ISSUED KT_IZA44-1 0 SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Dom ft
Proposed Wastewater System Type:,25`f2 u 44747)
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I~f Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Ag Date: 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.
ISSUED TO: PROPERTY LOCATION: __.~o5e 'tj-W/~ 1206
SUBDIVISION LOT #
Facility Type: D6A-) h-1,44- New ❑ xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 240
Type of Wastewater System' ZS/b 's0 5 /Z - (Initial) Wastewater Flow: GPD
(See note below, if applicable
45 air)
Installation Requirements/Conditions Number of trenches
Septic Tank Size / gallons Exact length of each trench 1 Z-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour +t a Soil Cover: inches
Maximum Trench Depth of. -74 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
Aggregate Depth: inches above pipe
Conditions: / G-- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 spec/fled on the application. / accept the specipcations 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 A Date: Z -05;:' ft
Construction Authorization Expiration Date: Z 1(~
HTE# 26J JZ)
Permit # 2 (41 1-y /
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:,~L--/S:-,9Q Scat,) ~
ISSUED T0:-/ D 6~ SUBDIVISION LOT #
Authorized State Ag Date: Z_ Z~ - a F
61
SX/~ 710 Bew so,,.s rZi)
Depai anent of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOILISITE EVALUATION File
far ON-SITE WASTEWATER SYSTEM:
Owner: Applicant:
Address: Date Evaluatlyd. Z
Proposed Facilityr: j~(,eS YYt4' Design Flaw (.1949): Property Size:
Locatioa of Site: -property P=rded:
Watet Suppijr tie ❑ individual Well ❑ Spring C1 Other
Evaluation Method: Aug" .Boring Cut
Type of Wastewater, t d' evvage ❑ industrial Process Miiuad.
P
R
O
F SOIL MORPHOLOGY OCHER
t .1940 .1941 PROFliB
L 3
lACTOR L.=Wxmp Horizon 11942
E Posidod Depth .1941 .1941 Soil 1443 .1916 .190 ftme
M Slope % (in.) Shmmw Coaaldem weMnd 9oi1 Sapre Redr Ctw
Tem n Minaralo Color IN. Claa Hons. A LTAR
zvi, r 2 ~l -
3 L ;'~Z & I5~ S c~
D J4 LKI
Lft l b -
:,a 751
.-.~iasr~A ~.i +a le
K/.!2ft'rd ?P~ L1 L~
H -7
z 117- e
Other Factors (.1946)Site CiaWcadon (.1948X ;75
Evaluated By:
Others Prexat: