IPACH T E # //'-~i Z6//6 Harnett County Department of Public Health
Improvement Permit 26421
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATI N7 z5MIh-nd /Zt) _
ISSUED TO- lrG' SUBDIVISION ,•'r41 Ca' LOT #
NEW ~ REPAIR ❑ EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S
Proposed Wastewater System Type: G `/50
Projected Daily Flow: 3(00 - GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes L7 No
Pump Required: []Yes ❑ No E2 M,a, be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 public El Well Distance from well feet Permit valid for: I ? Ftve years
Permit conditions: ❑ No expiration
Authorized State Ag t:: - Date: 5 ° Z 1 / 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.
ISSUED TO: % 1+1a~ 4-t.J PROPERTY LOCATION: IUV? 7 .--,6'
SUBDIVISION LOT #
Facility Type: M CNew Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ILI No
Type of Wastewater System- Z5-% A7t)067103 (Initial) Wastewater Flow: 3(0GPD
(See note below, if applicable
3~~U ir)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench CP0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: V 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:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 specircations 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 Dater Z - 1
Construction Authorization Expiration Date:
HTE# //.1 26116 Permit
Authorized State Ag ~Date: 3-0- If
IN
lp6
7 1
//19-i /
Department of Environment, Health and Natural Resources
sheet:
Division of Environmental Health
Property ID:
On-Site Wastewater Section
Lot
SOIIdSTTE EVALUATION
File
:
Code:
ror ON-SITE WASTEWATE1Els8YSTErw
Owner Applicant:
Address: Date Evacuated: 2-z3- J
Proposed Facility: Design Flow (.1949): -~6 6
Property Size:
Locadod of Site: Property Recorded:
Watef Su
ly;
pp
c ❑ individual ❑
Well
❑ Spring ❑ Other
Evaluation Method: L.Boring Pit
Cl
Type of Wastewater
❑ I
d
Cut
. ewage
n
ustrial Process
Mixed.
P
R
O
F
SOIL MORPHOLOGY
GAR
t
L
.1940
.1941
PROFtLB FACTORS
La ulsom
Hosim
1941
9
Posifiad
Scope %
Depth
(110
.1941 .1941
Structured colwdem
soil
Wemad
.1049 .19J6 .190
Soil
ftme
TOM" %mla
Color
Sapre Re*
QY, Ctese Hash.
-ftAfi
Clue
ALTAR
I
z°~
0 -Ltz
T(- P
Z L zco c -Yzt L G~.~rP
40
1o..
1
Lb- 1°`U 16 -YZ k~
it
5® a~ ~
Other Factors (.1946k
Sits Classification (.1948X
Evehteted By:
Others Frexnt:
'u 6