IPACH T E # Harnett County Department of Public Health
Improvement Permit 26641
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO :
ISSUED T . /~o t l7~~~!" SUBDIVISION r 717-~c1 LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~J-F b S"~ K Y2,
Proposed Wastewater System TXXpe: 42ZL-
Projected Daily Flow: IN GPD
Number of bedrooms: Number of Occupants:max
Basement ❑Yes
Pump Required: ❑Yes ❑ No L✓i Moe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community R? Public ❑ Well Distance from well feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: c,u Date: >s f4& cl// SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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. l
ISSUED TO: L e'er Zanyl /1 -q- PROPERTY LOCATI N: Crk.(-Id-
SUBDIVISION -F",4 LOT #7.S-
Facility Type: E~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes VNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ~,2f "ya ~w f~ (Initial) Wastewater Flow: G GPD
(See note below, if applicable])
/Z!!A,14 lryc,~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ~U gallons Exact length of each trench oZG~ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. .2'1-70 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
Aggregate Depth: inches above pipe
Condi ions: L,1\-PL- Llb':, ;-F -a a-- e 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 app/ication. / accept the specifIcatiox 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 chance in ownership of the site. This
Lonstruction Authorization is subject to complian a with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. At AI IACHtU SIIt SKETCH
Authorized State Agent: Date: 7L~
ff-
Construction Authorization Expiration Date: 71 z.,I
H T E # Z , 5- o2-7 yl l Permit # ,,2 b q I
Harnett County ]Department of iblic Health
Site Sketch
f~ PROPERTY LOCATON: Ark-
ISSUED TO: I~-,&-,4 74,m,./' /t~, s SUBDIVISION a ZA LOT # '7-
Authorized State Agent: Date:
7~ A F L f G rC 'l e-
L-. c'c !/i G vZti
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):
Location of Site: ~ Property Recorded:
Water Supply: LJ public[] Individual ❑ Well
Evaluation Method: Auger Boying ❑ 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
940
Landsca
e H
i
SOIL MORPHOLOGY
.1941
THER
PR OFILE FACTORS
E
#
p
or
zon
Position/ Depth
Slope % (In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
De th (IN.
.1956
Sapro
Class
Restr
.1944
Horiz li
Profile
Class
& LIAR
Pf 6
se
Description 41nitial Repair System Other Factors (.1946):
Site Classif
ication (.1948): 198
Available S ace .1945) Evaluated B
:
S stem Ty e(s) Others Present:
Site LIAR a~