IPACHTE# %1- J'_ eZ ~I Harnett County Department of Public Health
hDrovement Permit 26620
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION:s
ISSUED TO:T J~ -,,x SUBDIVISION C~ a 4 . ~fv'c>a LOT #
f/
NEW [0' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: CJ , q~~
Proposed Wastewater System Type:
Projected Daily Flow: cz~ GPD
Number of bedrooms: q Number of Occupants: max
Basement ❑Yes PIN o
Pump Required: ❑Yes ❑ No Iil"Maa be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 -public ❑ Well Distance from well feet Permit valid for: E!r ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: 40V Date: 7!L 47.~1/ SEE ATTACHED SITE SKETCH
The issuance of this permit by thg.f 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 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: ~ g PROPERTY LOCATION: Ja J~s r .u~
SUBDIVISION cs . • -c-- ~a LOT # s/
Facility Type: dNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** c irz, xe-4 l n/ (Initial) Wastewater Flow: GPD
(See note below, if applicable
/v'np F- A 'Leg-4 ova, --kw4_4epair)
Installation Requirements/Conditions Number of trenches ,-y
Septic Tank Size /000 gallons Exact length of each trench ..5_0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 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)
f / A gregate Depth:
Conditions: kr-Sc, -;-r J J t+- ^ J-_. cJ`
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: /understand the system type specified is different from the type specified on the app/icatiom / accept the specipcations 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 Agent: xe Date:'' ~C -7 x Construction Authorization Expiration Date::2L6 1Z.1C..
HTE#
Permit # (4 lD1?-Qj
Harnett County ]Department of niblic Health
Site Sketch
/j PROPERTY LOCATON:
ISSUED T0: SUBDIVISION Z,-1~•~~. Je ws` LOT #
Authorized State Agent:.,, f~~ Date: 7 (ms`s/
.1j jj~~ aV .A
it" 141
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: -7 PL6-
Address: Date Evaluated: Facility: Design Flow (.1949):
Proposed U
Location of Site: Property Recorded:
Water Supply: ,_,l/ Public❑ Individual E] Well
Evaluation Method: E Auger Bo ❑ Cut
g El Pit
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(hi.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
C_/Z_)_
G
Z
z~~
L IZ-f
Description
Initial
System",
Repair System
Other Factors (.1946):
Site Classification (.1948): P'
Available Space (.1945)
Evaluated By: b Ore
System Ty e(s)
ar
J , :_J` Z.,
Others Present: o'
Site LTAR
v
- c.