IPACHTE# 11-J" '16 9 Harnett County Department of Public Health
Improvement Permit 2 6 6 3 9
A building permit cannot be issued with only an Improv ment Permit
PROPERTY LOCATIO car ✓?P.
ISSUED T0: rs 1 AA.Q f' tcJ SUBDIVISION _C~rd LOT # 73
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C 8 zCYZ
Proposed Wastewater System Type: i~lcJ
Projected Daily Flow: Z,C GPD
Number of bedrooms: q Number of Occupants: max
Basement ❑Yes ER"ho
Pump Required: ❑Yes ❑ No 1111~Ma} be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9 Public ❑ Well Distance from well feet Permit valid for. El"Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: /y'C. n ..,/~CftJ Date: /moll SEE ATTACHED SITE SKETCH
The issuance of this permit by a Health Depent 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. pp,,
ISSUED T0: PROPERTY LOCATI N: t~,r1'r".
SUBDIVISION 014 LOT # 17
Facility Type: Z New ❑ Expansiofi ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** J2c4kx4 ~ a/., f rllI (Initial) Wastewater Flow: V6 C) GPD
(See note below, if applicable)
RZJ~Y~,, ~1..) r 4l (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /CQ Q gallons Exact length of each trench Q, U feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /8 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)
/ ggregate Depth:
`.•.~y -~e, ve /f o tG yam- ,a ~ Uvt on Cc 0/-
.~~j ;.1r iJ ~G d e ea ~ 0t-,) e-s r.c> 2 ✓t c t L4-,J: -gd G
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.
inches below pipe
inches above pipe
i ches total
s k il ePd e-V
**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 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. Stt AI IACHED Slit SKETCH
Authorized State Agent: Date: jr" 1-~71
Construction Authorization Expiration Date: 6
HTE# Permit # c>.2- ~-3 9
Harnett County Department of iblic Health
Site Sketch
PROPERTY LOCATON: 14c,-4-r ,4
ISSUED TO: obw X4-sr SUBDIVISION' ~.nQ LOT # _
Authorized State Agent: Date:
o/~ 4- t~
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: /.G 2' Ic
Address: Date Evaluated: ~j
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: 0 Public❑ Individual ❑ Well
Evaluation Method;Auger Boding El Pit r-1 Cut
Type of Wastewater: Q Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
SOIL MORPHOLOGY
OTHER
L
Landsca
H
i
.1941
PROFILE FACTORS
pe
or
zon
1942
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure/
.1941
Consistence
Soil
Wetness/
.1943
S
il
.1956
.1944
Profile
Texture
Mineralogy
Color
o
Depth
(IN.)
Class
lass
oriz
Horiz
Class
& LTAR
~
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e
s~~ls=1
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4