IPACHTE# 11- _ -0609 Harnett County Department of Public Health
Improvement Permit 2 6 4 2 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:,-,%r,--/ Y 5 l ~5
ISSUED TO• SUBDIVISION ~ lAo LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sig>
Proposed Wastewater System Type: Z 5%
Projected Daily Flow: GPD
Number of bedrooms: ~3- Number of Occupants: max
Basement ❑Yes L No
Pump Required: ❑Yes e No ❑~Maa be required bZon final location and elevations of facilities
Type of Water Supply: 7 ❑ Community I,d Public Id Well Distance from well feet Permit valid for: ive years
Permit conditions: ti "'f-6 ❑ No expiration
Authorized State A t:: / Date: _ y _ I I SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth 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. p
ISSUED TO: /1i aiL OvIIA; Z PROPERTY LOCATION: 7"W / ql~; .d /s ~ /~t✓~G
SUBDIVISION h'7~ LOT #
Facility Type: 1 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes Cad" No Basement Fixtures? ❑ Yes 2"'N o
Type of Wastewater System" 25%6 Z~='1f>0 (Initial) Wastewater Flow: C,- GPD
(See note below, if applicable F-1) f
Lt I~l~ ~ -51 C4 1 air)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 16bo gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2.2- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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: l understand the system type specified is different from the type specified on the application. / accept the specif1ca6ns of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dian, slat, or the intended use chanties. The Construction Authorization shall not be transferred when there is a chantie 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 Ag t: ~ Date:
Construction Authorization Expiration Date: 3 ` l
HTE# 57 Permit # Y Z
, rnett County Department of PtIblic, Health
Site Sketch
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Deimbnent of Environment, Health and Natural Resources
Division of Environmental Health shed:
shed: ID:
On-Site Wastewater Section Lot Property
SOIIJSITE EVALUATION File
for ON-SITE WASTEWATEIf SYSTEM Code:
Owner. Applicant: t
Address: Date Evaluate& Z
Proposed Facility; r-r,) Deslgp Flow (.1949): Pmperty Size:
Locatiotc of Site: , Froperty Recorded:
Watet Supply; l~lic ❑ Indiv~idu~al--❑ Well
Evaluation Method: ❑ Sp~g ❑ Other
(1-Auger Boring ~S rn
Type of Wastewater. G-*M9e ❑ Industrial Process [C) cut
Mxed.
P
R
O
P
SOIL MORPHOLOGY
OAR
1
.1940
.1941
PROFtCti PACTORS
L
Lands"
Horizon
.1942
E
if
Positiow
Slops %
Depth
00
.1941 .1941
St
d
Soil
1943 .19Jti
.1944 FIOt11®
uchu
Conabtenea
Texture Miumfo
wetness!
Color
9oi1 Sapre
D
Re* Clue
tIQN. Ciao
Hail. A LTAIt
j
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lpO
L b_-ID 1J'L n
1~ 3 Z Sc-c {
L
5 J~ Z 0
zq-y~3 sL
I I <
J
31P
L
30" y2
r ary Otha Factors (.1946)
Site Claweadon (.19482
Evahated By:
Others Pnsme