IPACHTE# ~ -71-7 y Harnett County Department of Public Health
Improvement Permit 2 6 5 2 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: f s - -bit o
ISSUED TO• X21 SUBDIVISION S i 0 LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: °l> &Ui 29'X-7t,'
Proposed Wastewater System Type: f R~
Projected Daily Flow: c~ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: L/ Five years
Permit conditions: ❑ No expiration
Authorized State Agen L /r1 6~~ ~sf Date: 7- "-C/ SEE ATTACHED SITE SKETCH
The issuance of this permit by 61 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: Mc"IY~47~ PROPERTY LOCATION: . S :aGP"/w&r; 1J
SUBDIVISION 5 713 LOT #
Facility Type: bl~ /Kif 16 )06/New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2"Io Basement Fixtures? ❑ Yes Zlo
Type of Wastewater System** l6 f 0-U (Initial) Wastewater Flow: -3& GPD
(See note below, if applicable
i& i ~Sr 5°~f (Repair)
Installation Requirements/Conditions Number of enches ~3
Septic Tank Size / 00 ® gallons Exact length of each trench 1 0 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: 18" 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
2. inches above pipe
l inches total
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.
**If applicable: /understand the system type specified is di/ferent from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dlan, 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 Ag Date: `7-Z t
Construction Authorization Expiration Date: •-t -'t•6~ -I (P
HTE# 11-'5 Z-71 3 1
Permit # ~2 6 c~
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: g?(. f5-5-y ,I C hh cf~J
ISSUED TO: -1X0Ye--1La L- SUBDIVISION 5 LZ LOT #
Authorized State Ag e`9 Date: 7--- 25 1(
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 1(' 3--e713-(
Address: Date Evaluated: ` 1 -
Proposed Facility: Design Flow (.1949):311 0 Property Size:'
Location of Site: j,,07`j" f jtu'r° Property Recorded:
Water Supply: EI'Vublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
.1942
E
Position/
Depth
.1941
.1941
Soil
.1943
.1956
.1944
Profile
#
Slope %
(In.)
Structure/
Consistence
Wetness/
Soil
Sapro
Restr
Class
Texture
Mineralogy
Color
Depth (IN.)
Class
Horiz
& LTAR
L
5L
1 t3 ° ~ Z-
~ 9 ECy
, ~ c
`
~
t~lj sY 'l•7'(~`/
I
,
am
,
j~~tk, W i 7y....- ~
3 0 b 6-8 '5L
tr a t--a 5 L
st -
C ~ 41 36"
&1 3 '5
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (1948): P
Available Space (.1945)
Evaluated By:
System Type(s)
Z~
Others Present:
Site LTAR
`
s