IPACHTE# / _ `57 2753 Harnett County Department of Public Health
Improvement Permit 2 6 5 3 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Q~2
1 t c5 * L'l
ISSUED TO: 5 G r, 4. SUBDIVISION LOT # Z-
NEW 12' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: f2 E`
Proposed Wastewater System Type: _dTJ
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: 'max
Basement ❑Yes No
Pump Required: Yes ❑ No ❑ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public El Well Distance from well dG feet Permit valid for: E~7 Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: 7--7-11 SEE ATTACHED SITE SKETCH
The issuance of this permit by t eaith 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, .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 layout.
ISSUED T0: / PROPERTY LOCATION: 'tc { ( f?
SUBDIVISION LOT # 2
facility Type: Lt6 New Expansion ❑ Repair
Basement? ❑ Yes 2~ No Basement Fixtures? ❑ Yes 2N o
Type of Wastewater System** 4W~le (Initial) Wastewater flow: -16e GPD
(See note below, if applicable
vt-a Z5O,~Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 16 0 0 gallons Exact length of each trench feet Trench Spacing: ~ Feet on Center
Pump Tank Size 1000 gallons Trenches shall be installed on contour toga Soil Cover:_ inches
Maximum Trench Depth of: 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
Conditions: 6-,'5 Z inches total
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 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
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 Ag Date: f2 -2 -t -t f
t Construction Authorization Expiration Date: 5 77 ° t ce
HTE# Permit # 5
Harnett County Department of Public Health
Site Sketch
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.195E .1944 I Profile
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Description
Initial
Repair System
Other Factors (.1946):
Available Space 1945)
S stem
Site Classification(. 1948):
System T
e(s)
Evaluated B
y.,
Site LTAR
Others Present:
Department of Environment, Health and Natural Resources
She
t
Division of Environmental Health
e
:
On-Site Wastewater Section
Property ID:
Lot
SOIL/SITE EVALUATION
File
for ON-SITE WASTEWATER SYSTEM
Code:
Owner: Applicant: b1
Address: Date Evaluate j® ' Z 2 -'/f
Proposed Facility:
Design Flow (.1949):
Location of Site:
Property Size:
Property Recorded:
Water Supply: e public[] Individual El Well
Evaluation Method:EAuger
Bo
in
❑ Spring ❑ Other
r
g
Sewa e ❑ Pit ❑
Type of Wastewater:
g ❑ Industrial Process
Cut
❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I
1940
OTHER
.
.1941
L Landscape Horizon
PROFILE FACTORS
E Position/ Depth .1941 .1941
# Slope % (In
S
.1942
Soil
.1943
.
tructure/ Consistence
Wetness/
Soil