IPACHTE# A- • - 26 0 Harnett County Department of Public Health
Improvement Permit 2 6 4 2 8
A building permit cannot be issued with only an Improvement Per
ISSUED T0: y -/f lfz~j/~ PROPERTY LOCATION A
/ G SUBDIVISION ~c LOT #
NEW Z7 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 f" i~
Proposed Wastewater System Type:
Projected Daily Flow: tQ 0 GPD
Number of bedrooms: Number of Occupants: (e- max
Basement ❑Yes No
Pump Required: ❑Yes ' ❑ No ®Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well feet Permit valid for. L?"Fjve years
Permit conditions: ❑ No expiration
Authorized State Agen f Date: 3 °Z! -j f SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 t e 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: fI'FI`fC~--t t %Cc~ 1~ PROPERTY LOCATION: .J
SUBDIVISION LOT #
Facility Type: ~j L2'1 New Expansion ❑ Repair
Basement? ❑ Yes E?f No Basement Fixtures? ❑ Yes L'J No
Type of Wastewater System" ?TZ1,1a f7 ' 0 0 ~ (Initial) Wastewater flow: 6_ GPD
(See note below, if applicable
lzJ" x & 1 y)z'~ 8 L~-,jU air)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /6&V gallons Exact length of each trench ~ feet Trench Spacing: - Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4-1 inches
Maximum Trench Depth of. Z,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 inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: rZ_ 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 sy tem type specified is different from the type specified on the application. /accept the rpeciflcations of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for
Date:
shall not be transferred when there is a change in ownership of the site. This
Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Age qgq~~
zvz- -4~t~ -Z
Date: 1 - t
Construction Authorization Expiration Date: - 2 i
HTE# Z7, Permit # +ca~ ~j
Harnett (bounty Department of public Health
Site Sketch
r PROPERTY LOCATON: ~VYYZ ~12
ISSUED T0: Gf cY SUBDIVISION e~ LOT #
Authorized State Age Date: 3 Zl -11
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Department of EwAronmenk Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Property
Lot
SOIUSTTE EVALUATION
File !l:
for ON-SITE WASTEWATER SYSTEM,
Code:
Owner. Applimt
Addresa: Date Evaluated: 3-15-- /5 -4W.,
Proposed Facility: 75, Design Flow (.1949): 52~6
Property Size:
Location of Site: Property Recorded:
Watt rt Supply; [Public ❑ Ill Ndual ❑ Well
~
❑ Spring ❑ Other
Evaluation Method: Q'
Auger Boring ❑ Pit c*
Type of Wastewater, (Sewage ❑ Industrial Process Nxed.
P
R
O
F I SOILMORPHOLOGY
OTHER
19A0
.1941
L Laws m" Horizon
PROFtti.B FACTOA~
1941
E Poritiad Depth .1941
3tr .1941 soil
Ste" % Ora) uciorn/ condda" watnial
:1943 .1956 .1944 hottt®
Te)dm Minaralo Color
I L
3epro Re* CIM
M Ciw Hail. ALTAR
h C? L ~n I~Svu 6
may;
IS IL
L o SL.
Mal Repak Sy Other Factors (.1946)
s °1014
Available s sa .1943 Site ClassiHcadon (.1948k
s dam a 2 Evaluated By:
silo LTr1R w a, Others Preaant: