IPACHTE# - z 0-7 Harnett County Department of Public Health
Improvement Permit 26536
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:S/Z. 1cxsCr2
ISSUED TO: , < 2J }v SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION Site Impr ements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z6
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No I~Public required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I] Well Distance from well feet Permit valid for: 21ive years
Permit conditions: ❑ No expiration
Authorized State A t:: _ Date: / " f f SEE ATTACHED SITE SKETCH
The issuance of this permit by a Ith 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 t e 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: &t4_4•.~- PROPERTY LOCATION:: 66 0-7
SUBDIVISION 0-444' , _q P AL-LO-6 LOT #
Facility Type: LEI New ❑/Expansion ❑ Re it
Basement? ❑ Yes Z" No Basement Fixtures? ❑ Yes E~No
Type of Wastewater System** 25 i !:!r 4-4(Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size C 0 gallons Exact length of each trench ~ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a 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: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
- - inches above pipe
L-- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 specilcations 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 ent: r Date:
Construction Authorization Expiration Date: f t d _ /
HTE# Z-7 6- 3-7 Permit # S--3 L
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Harnett County ]Department of iblic Health
Site Sketch
ISSUED TO:
Authorized State
PROPERTY LOCATON: 16Ge~ 0 3 74<:1-a rZA
SUBDIVISION Ufa LOT #
Date: f d
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Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
On-Site Wastewater Section
Property ID:
Property
Lot
SOIL/SITE EVALUATION
File
for ON-SITE WASTEWATER SYSTEM
Code:
Owner: Applicant: 12
_
Address: Date Evaluated: lv
Proposed Facility: 5 I Design Flow(. 1949):
Property Size:
Location of Sites 4LO& & Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method: ❑'Auger Borin
❑ Spring Other
g ❑ pit ❑ Cut
Type of Wastewater: [Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I 1940
OTHER
L Landscape Horizon .1941
PROFILE FACTORS
E Positi on Depth 1941 .1941
# Slope /o (In.) Structure/ Consistence
.1942
Soil 1943
.1956
Wetn
/
.
1944 Profile
Texture Mineralogy
ess
Soil
Sapro
Color D th IN. Class
Restr Class
Horiz & LTAR
!5- - Lrd sc _
tp 7 S~
.tij
i5' I 5
Kz- q V
~t ,)s7U.
It 2
-
V-n
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):
Available Space .1945)
System Ty e(s)
Evaluated By:
Site LTAR E.
Others Present.L---