IPACHTE# &r J-,2J-2z8 Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Q PROPERTY LOCATION: tZ c~ >2 s e, w
ISSUED TO ti`- r a+^L Q . 1Ja+s SUBDIVISION
NEW M REPAIR ❑ EXPANSION ❑
Type of Structure: Eb
Proposed Wastewater System Type: 4`c~
Projected Daily Flow: GPD
Number of bedrooms: L/ Number of Occupants: max
Basement ❑Yes
26751
LOT #
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes R "No ❑ May be required b ed on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Well Distance from well 100 feet
Permit conditions:
[E' five years
❑ No expiration
Authorized State Agent:: • Date: /c-z- -2 0SEE ATTACHED SITE SKETCH
The issuance of this permit byte 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 6 a I _ PROPERTY LOCATION: r~c.~f Gw
SUBDIVISION LOT #
Facility Type: Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** t •e Ju 4 , fi,4- (Initial) Wastewater Flow: GPD
(See note below, if applicable 02l /
1. A-J-142 f °!A,.,.. (Repair)
Installation Requirements/Conditions Number of trenches .3
Septic Tank Size /000 gallons Exact length of each trench J V feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ~+L7c) inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 12-- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 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 is different from the type specified on the application. / accept the specifIcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect 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
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
Authorized State Agent: Date: 1,?--2 211/
Construction Authorization Expiration Date: zz 2,/
Permit valid for:
NTE#
Permit # 02 ~-7 s"I
Harnett County Department of 1"ablic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT # _ T
Authorized State Agent: Date: % L 12_,)Il
n
t ,J
f
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 2cY
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual El-Well
Evaluation Method:[ Auger Boring ❑ 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
1940
L
d
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
an
scape
Position/
Slope %
Horizon
Depth
(hi.)
1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
/f L
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):1
Available Space(. 1945) 1-1 Evaluated By:j',,
System Ty e(s) f v oZ S--S, Site LIAR A Others Present: C) 7-
, p,