IPACHTE# %/:j' 7VIC Harnett County Department of Public Health
Improvement Permit 2 6 6 4 0
A building permit cannot be issued with only an Improv ment Permit
PROPERTY LOCATIO cox ISSUED T : &~"k &111v- ffc f, eJ SUBDIVISION ! ~~nrcf LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1) e/Y '.7u'`
Proposed Wastewater System T pe:5~~ /Ica
w~ :cyt ~h
Projected Daily Flow: GPD
Number of bedrooms:- Number of Occupants: max
Basement ❑Yes C"No
Pump Required: ❑Yes ❑ No I✓ ~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: I" Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: r' .1 o . _ Cpl Date: ll ~<l2ot/ SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 systemllayouut. /
ISSUED T0: /moo `J~-r~ ~~c;hc1 ,may PROPERTY LOCAT N: c>.4-a-A
SUBDIVISION f /4 LOT # -7 V
Facility Type: - C7" New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' (Initial) Wastewater Flow: V160 GPD
(See note below, if applicable )
„2s-7, &I -Ji4--~-l,pQ'""p (Repair)
Installation Requirements/Conditions Number of trenches Z_
Septic Tank Size C00 gallons Exact length of each trench /00 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1~2 -e"6 inches
Maximum Trench Depth of: o2'1-,70 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
Pump Requirements: ft. TDH vs.
in all directions)
GPM
inches below pipe
Aggregate Depth: inches above pipe
inches total
Ue r~~
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: /understand the system type specified is different from the type specifed on the application. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation of 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
Lonstruction 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 Agent: % Date: C ago/ (
Construction Authorization Expiration Date: I, 21111-
H T E # 11S' x-71//0
Permit # Z q V
Harnett County Department of iblic Health
Site Sketch
ISSUED T0: 4Aq Q~r ) PROPERTY LOCATON: ~.rL /J
c;tieJ SUBDIVISION ord LOT #
Authorized State Agent: Date: Z
~,,fC-Ie
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: ll
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger Booming ❑ Pit ❑ Cut
Type of Wastewater: F sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
R
O
1 P
F
I
L
940
Landsca
H
i
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
pe
Position/
Slope %
Z,/
or
zon
Depth
(In.)
U ~U
.1941
Structure/
Texture
C/
.1941
Consistence
Mineralo
' i i
.1942
Soil
Wetness/
Color
.1943
Soil
De th
.1956
Sapro
Class
Restr
Class
Z
f~
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (
1948)
Available
Space .1945)
.
'
Evaluated B
S stein T
Y e(s)
_
S
J
y:
Oth
P
Site LTAR
~
ers
resent: