IPACHTE# %/-,S VHarnett County Department of Public Health
Improvement Permit 26642
A building permit cannot be issued with only an Improvemet Permit
PROPERTY LOCATION: f-"'~ h
ISSUED 110: SUBDIVISION LOT #
NEW V_ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: H gZ t. V~
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms:- Number of Occupants: C max
Basement ❑Ye_s Ly' No
Pump Required: [3Yes ❑ No ❑ 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: L2'Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: vL a C.CftJ Date: 9 / 6 Z Zo!( SEE ATTACHED SITE SKETCH
The issuance of this permit by th eafth Department in 4 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, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system lay ut. J
ISSUED T0: Z~' PROPERTY LOCATI N: )C' re Le_ k d •
SUBDIVISION ff 4,,1~,Vlc,a-- LOT #
Facility Type: /1/~ L) New ❑ Expansion ❑ Repair
Basement? ❑ Yes [ Non Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" _7, G&Lrp-A{-:(iA4 (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable
s Coti✓e..,.,~: c (Repair)
Installation Requirements/Conditions Number of trenches Sl
Septic Tank Size ,/60 a gallons Exact length of each trench 4(3G feet Trench Spacing: 4 Feet on Center
Pump Tank Size 13Q) o gallons Trenches shall be installed on contour at a Soil (over: I_ inches
Maximum Trench Depth of: IoZ 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 6 inches below pipe
Aggregate Depth: _ inches above pipe
Condition S. A._'y x- % o7-. d inches total
t'2J~~~1(~~ G2 C~Vvc/' , l c ~asy~.e-n_ f'J~~~c~anSS ~s-e_/b~ott~ ~ f:~cti..._ Cam.. jC1VGG ~c3T
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: / andecrtand the system type rpecifed is di/ferent from the type specified on the application. /accept the rpecidcat/onr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dian. Diat. or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin 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
C 1
Authorized State Agent: ~ '~ty Date: I Z0d
,~vl~
Construction Authorization Expiration Date: I A.
HTE# 11-J-- o?-7 5 V J- Permit # a k° ~ Z
Harnett County Department of INiblic Health
Site Sketch
l PROPERTY LOCATON: rte- I&n-e-
ISSUED TO: K ! SUBDIVISION 7-e,y LOT
e
Authorized State Agent: vJ ~CZ Date:
f X15
3°
qo
t
Q ln~~`
rc-
i M i l l
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 /a- ) za
Proposed Facility: Design Flow (.1949):
Location of Site: ~ Property Recorded:
Water Supply: LEI/ Public❑ Individual ❑ Well
Evaluation Method:(/] Auger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
_
O
F
I
1940
SOIL MORPHOLOGY
OTHER
L
.
L
d
.1941
PROFILE FACTORS
an
scape
Horizon
1942
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure/
.1941
Consistence
.
Soil
Wetness/
.1943
S
il
.1956
.1944
Profile
Texture
Mineralogy
Color
o
__Depth IN.)
Sapro
Class
Restr
Horiz
Class
& LIAR
A
V~~
kc
Description
Initial
Repair System
Other Factors (.1946):
S Ste
Site Classification (
1948): f
Available Space (.1945)
.
Evaluated By:
S stem T e(s)
1 o w
c~ , .
Others Present
Site LTAR
:
o