IPACHTE# Il s =~~r~~ Harnett County Department of Public Health
Improvement Permit 26758
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION-
ISSUED TfL J I e I L C SUBDIVISION LOT # /a7
NEW ~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J-PC:-J VS- X-76
Proposed Wastewater System Type: D?-5 ✓~~u~ =~~~f e~^
Projected Daily Flow: 3 GPD
Number of bedrooms: 3 Number of Occupants: (o max
Basement ❑Yes No
Pump Required: ❑Yes 9'No ❑ MMaz be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 public El Well Distance from well feet Permit valid for: L5-five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~e ty Date: 5 T 21 (2-C(r SEE ATTACHED SITE SKETCH
The issuance of this permit by tfie 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 Permio
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. QQ 1
ISSUED TO: S - c, Jv:I ~rf~ G ~c• PROPERTY LOCATION: Ad
SUBDIVISION ~~`t~- motif LOT # 42,7
Facility Type: ~F 2""New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2" No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** xzs n (Initial) Wastewater Flow: 3 U GPD
(See note below, if applicable /
(Repair)
Installation Requirements/Conditions Number of trenches J
Septic Tank Size 1090 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench S--C) feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 3l~ - / inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: 2q- 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 ]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 specifed is different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Thi, r-tr irtinn hthnrnafinn is whiert to revnratinn if the sire n1an. nlat or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownership of the site. This
err ATTArllrr% nrr rurrru
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Ireatment and Disposal and to the conditions of tms perm[. JILL nnranw 3111r MLILn
L
[Authorized State Agent: Q=- Date: 9 ,
Construction Authorization Expiration Date: 9 12-9 20/
HTE# S- 5 & I Permit # -Z 7 J-0°
Harnett Conirity Department of Public Health
Site Sketch
PROPERTY LOCATON: e-^- eel
1 LOT # 1-2-?
ISSUED T0: 4" SUBDIVISION :A X--,f-
Authorized State Agent: C l Date:
fiq
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:` IWI-a
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: I!~ Public❑ Individual ❑ Well
Evaluation Method:(' Auger B ng ❑ Pit ❑ Cut
Type of Wastewater: ewage F1 Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
-
O
F
I
.1940
SOIL MORPHOLOGY
OTHER
L
Landscape
Horizon
.1941
PROFILE FACTORS
E
#
Position/
Slope %
Depth
(
1941
Structure!
1942
.1941 Soil .1943 .1956
Consistence Wetness/
.1944 Profile
t qS
Texture
A
Soil
Sapro
Mineralogy Color De th IN. Class
Ruiz Class
Horiz & LTAR
Lr~
~
V 0 y"dY~
Description
Initial Repair System Other Factors (.1946):
A
il
bl
S
S stern
Site Classification (
1944 f
va
a
e
ace .1945)
.
S stein Ty e(s)
v
Evaluated By
Site LTAR
_c.
Others Present: