IPACHTE#Harnett County Department of Public Health
Imurovement Permit 2 6 4 4 2
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION: .f KeJ
ISSUED TO - f f U/ ~ S M SUBDIVISION 6, ~ LOT # '7' dZA~
NEW REPAIR ❑ EXPANSION ❑ Site Improve nts required prior to Construction Authorization Issuance:
Type of Structure: _5 t'>
Proposed Wastewater System Type: 2,' r>
Projected Daily Flow: GPD
Number of bedrooms:- Number of Occupants: ( max
Basement ❑Yes ZNo f
Pump Required: ❑Yes ❑ No 2 t e required based on final location and elevations of facilities ~,r
Type of Water Supply: ❑ Community L1 Public El Well Distance from well feet Permit valid for: Ls Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: SEE ATTACHED SITE SKETCH
The issuance of this permit b 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, .1957, .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: Al_ 14Y/ )00.47// 5 ;:,-,3 C_ PROPERTY LOCATION: 5~611~ 3
SUBDIVISION Z LOT #
Facility Type: D LT New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes F No
Type of Wastewater System** 7`a l~ +Q lAaAn s _ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑1 /y,e t l1'°1d/` (Repair)
Installation Requirements/Conditions Number of trenches 7-
Septic Tank Size 1000 gallons Exact length of each trench Z~) feet Trench Spacing: 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: J(,-27N9 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Soil Cover: Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
/ Z 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 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
Z el
Date: - Zt It
Authorized State A ent:
67 Construction Authorization Expiration Date: - f
HTE#f Permit #
Harnett Connty Department of Public Health
Site Sketch
_ PROPERTY LOCATON:, //e- /
ISSUED T0:r` f
au~ /2 ,5 SUBDIVISION LOT # 7
Authorized State A Date:
1
\kt6
c
Department of Envlrmunenk Health and Natural Resources
Division of EuviforuneaW Health
Sheet:
On-Site Wastewater Section
1D:
c
Lot
SOHJSITE EVALUATION
File 0:
for OlY-SITE WASTEWATER SYSTEM
Code:
Owner. Applicant:
Addresif0 Date Evaluated: L/ - e5.
- e r
Proposed Facility: Design FLOW (.1949): 3Ge)
Prop" Size:
LocatiotE Site: PropertY Recorded:
Wat" SuppEy , O''Pubdo ❑ MdMduat ❑ Welt
❑ Spring ❑ Oth
Evatuatlon MCtttod: [-Auger Boring ❑ Pit
er
Q4.
Type d Wastewater. Q--Sewage ❑ Industrial Process
Mixe&
P
it
O
P SOIL Mo"HoLOOY
t
1940
17iER
.
aula 1941
L Lsndseaps Horizon
PROF1Lt3 FACTO
3
.1942
E Yosidew Depth .1941 .1941 Soil
91ope9lr (10
Structurr/ Coaass Wetness!
onsindst
-
1$43 .1916
1944 proms
Texture c
do
Color
Sod Sspre
QY, Clue
ft* Clsa,
Hasis. 1t LTA1t
JL-
`
f
Z L 6 -3b
[z'~ -0 /AV
C. :5-11 0 -34
L I-E 16 - I *i_..
,e3
.,r•~, um9f factors (.1946)
Site ClassiBcatlon (.1948)
ah Evahated By 71 . u Others premt:
16 Ir