IPACHTE# Harnett County Department of Public Health
Improvement Permit 2 6 5 2 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NZ 13 0.3 Ze Jj ( lh>/ t-f' raj
ISSUED TO;r C SUBDIVISION 13 1-5 LOT # _
NEW ® REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~'N
Proposed Wastewater System Type: Z`~/v lL?L' sSF
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: d~ max
Basement ❑Yes LI No-
Pump Required: ❑Yes I!I No ❑ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LiJ Public ❑ Well Distance from well feet Permit valid for: LI Five years
Permit conditions: J ❑ No expiration
~s~dr # sew
Authorized State Aget}f--~ r,- y~'I anK Date: S Y-I SEE ATTACHED SITE SKETCH
The issuance of this permit y e 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 a 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 T0: T Y C'_ S kn'-r PROPERTY LOCATION: SW,4 0,-i i .7r) lam!/ Ci-iWCa,1h
SUBDIVISION L-6 LOT
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes E No Basement Fixtures? ❑ Yes I_'I No
Type of Wastewater System** 2 "5-% U ° ' (Initial) Wastewater Flow: GPD
(See note below, if applicable `
2`r /?/"-b (Repair)
Installation Requirements/Conditions Number of trenches q
Septic Tank Size gallons Exact length of each trench & 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z,6 lig inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
WATER LINES (IN(LUDING 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: l 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 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 nt: c" Date: ,
Construction Authorization Expiration Date: Z. '3 " f
Trench Spacing: % Feet on Center
Soil Cover: 4~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
I_ inches below pipe
Aggregate Depth: Z inches above pipe
iZ inches total
HTE# 7 7 560
Permit #
Harnett County Department of 1 ~iblic Health
Site Sketch
PROPERTY LOCATON: 4Si(L- -703 D 1 --I'r C WV(L ON)
ISSUED TO: c I ~ "L;i"i SUBDIVISION- LOT # r
Authorized State Age Date:
t 11 r
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IV
Ill i
3 b 14:-r~ I I c 4 i~~ i~~
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:;
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): it~
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:(" Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
1940
L
d
H
i
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
an
scape
Position/
Slope %
or
zon
Depth
(In.
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.
.1956
Sapro
Class
Restr
.1944
Restr
Horiz
Profile
Class
& LTAR
Lfi
c3 ;3~
Cf 7,
v
a
1 J `
a c$
6 t1devf
Wit'
gyyg `F
.
T~
Description Initial Repair System Other Factors (.1946):
Available Space .1945) S Ste Site Classification (.1948):
Evaluated By:
System T e(s) l
Site LTAR J we Others Present: