IPACHTE# `/-s-Z-7g2- . Harnett County Department of Public Health
Improvement Permit 2 6 6 3 8
A building permit cannot be issued with only an Improvement Permit
Q PROPERTY LOCATION: C I A q zI
ISSUED TO $rlc:~ SUBDIVISION C; 1rc gL: f@,-Jr'n LOT # /
NEW 6 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: d 2( L8
Proposed Wastewater System Type: L rn {!t ti{~ ~w
Projected Daily Flow: GPD
Number of bedrooms: 5 Number of Occupants: L max
Basement ❑Yes VNo
Pump Required: ❑Yes 12"'N o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1;1~Public ❑ Well Distance from well feet Permit valid for: ElFive years
Permit conditions: ❑ No expiration
Authorized State Agent:c Jac 7Date: „?c 1,7, 4 it
SEE ATTACHED SITE SKETCH
The issuance of this permit b the 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: k"v PROPERTY LOCATION: Cii
IvZe~
/ SUBDIVISION Eh, ill c~ h,~ LOT # l
Facility Type: a New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** G ,,I c ti, ~ (Initial) Wastewater Flow: °3C 0 GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size QQ0 gallons Exact length of each trench /CC y feet Trench Spacing: 9 Feet on Center, - -
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: /F 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 inches below pipe
p Aggregate Depth: inches above pipe
Con tions: K 0A L2e CAL Co.1~J~- u y ° C wa I e w~ c~ !vL 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: l understand the system type rpeclfed 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
7- 5~17
C
Authorized State Agent: 4y" Z j( Date:
Construction Authorization Expiration Date: ~z~
HTE#
Permit # aZ 3 6
Harnett County ]Department of Public Health
Site Sketch
DD
PROPERTY LOCATON:
Ol~
ISSUED T0:o~t~t~e
SUBDIVISION
/mil/
c `}1cw LOT # l
Authorized State Agent:
gyp-.
H
Date:
C, / 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:` t z`L t 2 °
Proposed Facility: Design Flow (.1949):
Location of Site: ~ Property Recorded:
Water Supply: DPublic❑ 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 SOIL MORPHOLOGY
I .1940 .1941
L Landsca
e H
i
THER
PROFILE FACT
RS
p
or
zon
E Position/ Depth .1941
# Slo e %
p e Structure/
Texture
ll
G
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
De th (IN.)
1956
Sapro
Class
Profile .1944
Restr Restr Class
Horiz & LTAR
_1~~ ~SQ~ /Jz1
~f~
J7
ref
16
ZT c- /Z-/- 1')Vo
f
ulf~
Description Initial
S stem
Repair System
Other Factors (.1946):
p
Site Classification (
1948)
Available Space .1945)
.
d B
Eval
t
System Ty e(s)
Site LIAR
ua
e
'
,l
Others Present: