IPACHTE#/ - z~ Harnett County Department of Public Health
Improvement Permit 26423
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:g9f t -2 ' 01 / 47rri r-(fn..... AL
ISSUED TQ -fOh A) J2- SUBDIVISION f s1/z~, LOT #
NEW ~ [~l REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: :5i>
Proposed Wastewater System Type: Z5~/cs9"
Projected Daily Flow: ~f C) GPD
Number of bedrooms: Number of Occupants: Amax
Basement ❑Yes No /
Pump Required: ❑Yes El No E;rM, be required based on final location and elevations of facilities
Type of Water Supply: El Community E Public ❑ Well Distance from well feet Permit valid for: IJ Five years
Permit conditions: ❑ No expiration
Authorized State AgMgE:
6 ~ Date: 3 -7 - ~ / SEE ATTACHED SITE SKETCH
The issuance of this permit by taentealth 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: ,j-oh % ~7-X +7
PROPERTY LOCATION: f"7 ?!e Q a b f n ab
SUBDIVISION (!Ax-i k*rKt--11eo 65t LOT #
Facility Type: 6Fb ZNew Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes IJ No
Type of Wastewater System** ZS% r tj tQC I3 5 (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
24~r (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /t0 gallons Exact length of each trench r r-V 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: z `f t8 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:
(o inches below pipe
inches above pipe
L inches total
WATER LINES (INCLUDING IRRIGATION) MIDST 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 specified 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 A Date: -7 ° 1 (
Construction Authorization Expiration Date: 3 M- Z ® / i'
HTE# . r -7 Permit 3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 010 C-t ~l 1 td,) I2l~
ISSUED TO: j o hA~ + di k-r- - SUBDIVISION / k, !z,'-S LOT #
Authorized State Age t: Date:
P 7
cc>
i
52 V-I"?( r i t
Department of Environment, Health and Natural Resources
Shea:
Division of Environmental Health
On-Site Wastewater Section
Property ID:
Lot
SOEUSITR EVALUATION
File
Code:
:
for Old-SITE WASTRWATERSYSTEM;
Owner: Applicant:
Address: Date Evaluated: 3.
Proposed Facility: 5 Design Flow (.1949):e
Property Size:
Locadoa of 9ita: Property Recorded:
Watet Supply; O'pubiie [3 individual
Well
❑ Spring
❑ Other
Evaluation Mf tha- [Auger Boring ❑ Pit
Cut
Type of Wastewater: storage ❑ Industrial Process
Mixed.
P
R
O
F
SOIL MORPHOLOGY
OTHER
1 .1940
L [
d
H
.1941
PROFtLB FACTORS
a~~
aape
9 Poaitioal
i* Slope %
arizaa
Daptb
(h)
.1941 .1941
stuchow Conaidew
1941
soil
welend
.1$43
.1916 .1944
Pir M$
Texh" Mtaanlo
Color
soil
tN.
Sapre Re*
Clue Hail.
Ctm
R MAR
. l.. ZGZ
q-- erg
"'r
a y ,n
" 51"
yL
T, 7.
f ,L1 SC-L1 0-
z
s
( ZJ4, cs t SC~ C'~ /GN C~
F `~t 5G-~" ' ~w qL"1
L 6_5 s'L ~,t 4AJ5rq
rr~~-
z ' ~0 3&j3
KeP'r aY90" t7tlter Factors (.l 446k
Site Classification (.1948k
T- 2 Evaluated By:
Others Preumt:
L 4