IPACHTE# I lI _ ~ - n2-'7b Harnett County Department of Public Health
Improvement Permit 26524
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0~@ Si ( f
ISSUED TO & SUBDIVISION LOT #
NEW RE AIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: T
Type of Structure: Pub( /dab A
Proposed Wastewater System Type: Z5'rz, RP-at; L41- f ,sf0a--
Projected Daily Flow: 160 GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes I~ No
Pump Required: ❑Yes ❑ No Z Ma a required based on final location and elevations of facilities /
Type of Water Supply: ❑ Community IQ Public ❑ Well Distance from well feet Permit valid for: Z Five years
Permit conditions: ❑ No expiration
Authorized State Ag • ' Date: K-- E 6 SEE ATTACHED SITE SKETCH
The issuance of this permit b t 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
Reouired 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.
- t 5
ISSUED T0: ,rL.% PROPERTY LOCATION: qO') IJA-ba 5-1
/ SUBDIVISION LOT #
Facility Type: ftl~ j 5 1 Q New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2'No Basement Fixtures? ❑ Yes E? o
Type of Wastewater System" 76-51, `,W,--b: ~ (Initial) Wastewater Flow: /06 GIRD
(See note below, if applicable
pl-v ''-U4 ~121 (Repair)
Installation Requirements/Conditions Number of renches
Septic Tank Size If gallons Exact length of each trench &0 feet Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (tv inches
Maximum Trench Depth of: 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:
inches below pipe
Aggregate Depth: •°L 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 different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect 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 Ag Date: - CI(
Construction Authorization Expiration Date:
HTE# 31a C; D Permit # 2-6 ~ q
Harnett (bounty Department of 1 ablic Health
Site Sketch
PROPERTY LOCATON:
SUBDIVISION LOT #
Deus,
Date:
0
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:
Address: atte Evaluated: S -rz f1)41 ^
Proposed Facility: t3ay f-90A- Design Flow (.1949): 160lPr Property Size:
Location of Site: (3 At(~.,~ Property Recorded:
Water Supply: L7Yublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method- Auger Bor' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
L
.1940
.1941
PROFILE FACTORS
Landscape
Horizon
.1942
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure/
.1941
Consistence
Soil
Wet
/
.1943
.1956
.1944
Texture
Mineralogy
ness
Color
Soil
Depth IN.)
Sapro
Class
Restr
Hodz
~
d ° G i
s
y~9 t
,?f- P
'Z
lZ 3
-
'
gyp- 3 5X .
Description
Site LTAR
Initial Repair System Other Factors (.1946):
-System Site Classification (1948):
1945) Evaluated By:
Others Present:
~L / 3 ~u
Profile
Class
& LTAR
el