IPACHTE# //f;-- 2-741 Harnett Lounty Department of Public Health
Improvement Permit 2 6 5 3 8
A building permit cannot be issued with only an Improvement Permit
Agttck ,r PROPERTY LOCATION: 6-7--f P47 0 f Q
ZHe
ISSUED T0: v SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1)`ej
Proposed Wastewater System Type: Z5zr4, Zf7.~-
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: (4~ max
Basement ❑Yes Z"No
Pump Required: ❑Yes ❑ No L!T Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I[7 Public ❑ Well Distance from well feet Permit valid for: 2-Five years
Permit conditions: ❑ No expiration
Authorized State Agenc._..p . f y[4 Date: /0 - 11 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by t[UHealth 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 LOCATION:
SUBDIVISION LOT #
Facility Type: /New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E? No
Type of Wastewater System** 150Z, 6,45 (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches Z.
Septic Tank Size f~046 gallons Exact length of each trench 1ZeD feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Z 7- , ( 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
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
/Z' , 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 speciped is different from the type speciTed on the app/icatiom / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, slat, 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 Age Date:
Construction Authorization Expiration Date:
HTE# 1~S 27 L'1 i Permit # Zf~ ~-1-5 Harnett County Department of Public Health
Site Sketch
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17
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Department of Environment, Health an tural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: >j
Proposed Facility: Design Flow (.1949):.3'0
Location of Site: Property Recorded:
Water Supply: LJ Public❑ Individual ❑ Well
Evaluation Method:Q Auger Bor' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Shet
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
940
Landsc
i
H
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
1
ape
or
zon
Position/ Depth
Slope % (In.)
L lid (3 - 3z
.1941
Structure/
T exture
s~
.1941
Consistence
Mineralo y
1942
.1942
Soil
Wetness/
Color
1943
Soil
De th IN.
.1956
Class
Class
1944
JRestr
it:
ss
TAR
✓L-
SQL
0
~ 5 5
Z/Z-VY
a
10
SC
C)
L Z% ' LL Sj
Gi2/lJll~
L~~ ® zz sL
~74cvll
IL
Description Initial Repair Sys m Other Factors (.1946):
S stem Site Classification (.1948):/:5
Available Space .1945) Evaluated By:
5 stem Ty e(s) Z
Site LTAR Others Present:
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