IPACHTE#_/- ss Z->ELC Harnett County Department of Public Health
Improvement Permit 2 6 7 5 4
A building permit cannot be issued with only an Impro ment Perrin
PROPERTY LOCATION: ` u cl~l v~-
ISSUED TO: p~iw~t~n 3~~)n SUBDIVISION L1t!L6
NEW 1~f REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ,5_FJ3 '-IV X ,W'
Proposed Wastewater System Type:
Projected Daily Flow: _7 (.6 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ER/No
Pump Required: ❑Yes ❑ 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: KI/Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ' - Date: 1128(2-011 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in noway 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 Permid
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:~2~J~i~.r snyt ~~=~e1 ~t.Y Lac PROPERTY LOCATION:
SUBDIVISION ✓~`-~o~yold/`ti~~ LOT #
Facility Type: Z/ New El Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Zs-7,, (Initial) Wastewater Flow: GPD
(See note below, if applicable
D2S'~_ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size CC 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions: 5-"p ~ : , f •'►lk(t Q_
re
Exact length of each trench a 3 v feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: la inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
C'L I p 1`:,Or ; &f4j( t
Trench Spacing: 9 Feet on Center
Soil Cover: 6 °/Z 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 1OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: f 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
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
e 1
Date:
Authorized State Agent: A111 ~ - ---,C
Construction Authorization Expiration Date: 5 8/./(,
HTE# Permit # Z05- V
Harnett County Department of iblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: ~ ~~a~ e l s`~~~• SUBDIVISION LOT # -T
Authorized State Agent: Date: )02 2 0/1
/To
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: 3 ublic❑ Individual ❑ Well
Evaluation Method:[J~Auger Bo 'ng ❑ 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
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
De th (IN.)
.1956 .1944
Sapro Restr
Class Horiz
Profile
Class
& LTAR
AV
)r-
j~Ifcl
:;Yv
J0YA 711
2-y
Y/ 45""l
24,
Description
Initial
Repair System
Other Factors (.1946):
Site Classification (.1948): l~
Available S ace (.1945)
W
Evaluated B
:
S stem T e(s)
y
Others Present:
Site LTAR