IPACH T E # lk J-- oZ7S'8U Harnett County Department of Public Health
Improvement Permit 26757
A building permit cannot be issued with only an Improvement Permit
QQ PROPERTY LOCATIO : i .,°'n
ISSUED TO: SUBDIVISION Pd+~~f - ,f- LOT #
NEW Q' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ 61-a x YS
Proposed Wastewater System Type: aJ-7,, ,eeJ
Projected Daily Flow: 6 GPD
Number of bedrooms:3 Number of Occupants: Q) max
Basement ❑Yes Aoo
Pump Required: ❑Yes V No ~Mray be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well feet Permit valid for: E'1 hive years
Permit conditions: ❑ No expiration
Authorized State Agent:: j/~C-~-- e~ /~e XJ Date: G/ f 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 TO: PROPERTY LOCATI N: % ew/ej•
SUBDIVISION _r 4 LOT # /R-r
Facility Type: dNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**~n (Initial) Wastewater Flow: _T('6 GPD
(See note below, if applicable
~`vtl~~ Sl7~esn (Repair)
Installation Requirements/Conditions Number of trenches -3
Septic Tank Size /000 gallons Exact length of each trench S_U feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 2q- L inches
Maximum Trench Depth of: 3(.- /b' 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: 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 specired is different from the type specified on the app/ication. / accept the soecipcations 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
Authorized State Agent ~~_Z W Date: /7-9
/Zo"'/
Construction Authorization Expiration Date; z 7 d o/ 6
HTE# f J-- Z? S'$ Q Permit # 1, -1 5-7
Harnett (bounty Department of 1"ablic Health
Site Sketch
PROPERTY LOCATON: % ei- Aj.
ISSUED T0: ~ ~~'s~derf ac SUBDIVISION s, o,, LOT # lo2S~
Authorized State Agent: Date: ?4
I C.,Q
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96. 1`
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S'U
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated: `f 1 Zg ` z° u
Proposed Facility: Design Flow (.1949): Pro
Location of Site: P~h Size:
Water Supply: Property Recorded:
Public❑ Individual ❑ Well ❑ Spring
Evaluation Method: Auger B 'ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
❑ Mixed
R
O
F
1
SOIL MORPHOLOGY
.1940
1941
L
Landscape
Horizon
.
E
Position/
Depth
.1941
1941
#
Slope %
(In.)
.
Structure/ Consistence
Texture Mineraloev
9-Af I tll~A_16~11
.1942
Soil
Wetness/
Description Initial Repair System Other Factors (.1946):
Available Space .1945) S ste Site Classification (.1948): /
S stein Ty e(s) S- Evaluated By:
Site LTAR Others Present:
❑ Other
OTHER
[LE FAC
.1943
Soil
.1956
Sapro
.1944 Profile
Restr Class
Horiz & LTAR
.f G
e