IPACHTE# //-S-- Harnett County Department of Public Health
hDrovement Permit 2 6 6 5 4
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: a t~ L Q c c r A
C
ISSUED T
ctif
~.r~ SUBDIVISION ~e~~ moo.
LOT #
NEW Ei
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 0
--FO
SG X , !
Proposed Wastewater System Type:
G M A
Projected Daily Flow:
-j'(- O
GPD
Number of bedrooms:
.3
Number of Occupants: max
Basement ❑Yes
11240
Pump Required: ❑Yes
Egio
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.
Bfive years
Permit conditions:
❑ No expiration
Z2 .1,
Authorized State Agent:: use i / Date: / 9c/ SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 T0: ~L~~,~ : c Cac t ; ON PROPERTY LOCATION: W rr I L~cc,f P~.
SUBDIVISION ~e`f-wc~-Fe LOT # 6 9
Facility Type: J-F D VNew ❑ Expansion ❑ Repair
Basement? ❑ Yes L2' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' G c,A tJe,n 4-: ahFQ (Initial) Wastewater Flow:.31[ac GPD
(See note below, if applicable n
Cc rc Je,~~, cvt. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size c 0 gallons Exact length of each trench 80 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: c2 g/ -,,70 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: lag -/8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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 it different from the type specified on the app/ication. / 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 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. l SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date: c?/ C= aQ16
HTE# /A S- n V~ Y Permit # Z
arnett County Department of Public Health
Site Sketch
/ PROPERTY LOCATON: 11 L U eel ,~d
ISSUED T0: SUBDIVISION LOT # 9
Authorized State Agent: Date:
f5 U.
/8?
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. Proposed Facility: Design Flow (.1949):
Location of Site: ~ Property Recorded:
Water Supply: LJ Public❑ Individual ❑ Well
Evaluation Method: Auger B ' 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
L
940
Landsca
e
H
ri
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
_
_
E
#
p
Position/
Slope %
Gf
o
zon
Depth
(In.)
Z(
.1941
Structure/
Texture
G kz-
.1941
Consistence
Mineralogy
i~- /q;'//
1942
Soil
Wetness/
Color
.1943
Soil
De nth (IN.)
.1956
Sapro
Class lass
Restr
.1944
Hoririz z
Profile
Class
& LTAR
Ot LTC t
1.-f,/'
~f -
q
Zr
✓k ,~/f
y0
~~-ssfP
~°1 ~s
J
1nisi
al
tem
Repair System
Other Factors (.1946):
Site Classification (
1948):/
r
.
-
Evaluated B
C~~
cC,2,/
y:
Oth
P
Site LTAR
ers
resent: