IPACHTE# Harnett County Department of Public Health
Improvement Permit 26726
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C REsS Cr,ivnrck.
ISSUED T0: s uxi~~U s\1 ~s~ SUBDIVISION C~1le Q. S-5 of r\,^SC LOT #
NEW X REPAIR ❑ EQNSION ❑ Site Improvements required prior to Construction Authorization Is
Type of Structure:
Proposed Wastewater System Type: 9 u~-,P \ o 45Y-
Projected Daily Flow: t-~'fl GPD
Number of bedrooms: _ t• Number of Occupants: max
Basement ❑Yes X No
Pump Required:AYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '~K Public ❑ Well Distance from well ►bd feet Permit valid for. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: Date: t *'3 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc her permits. The permit holder is res onsible 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 Improvemen it 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, .1957, .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: CJ Q c- PROPERTY LOCATION: Cd: )gCzc-55 C.,~v2e.~ 'QD
SUBDIVISION G )42E~3 Qos9'C LOT # ~o
Facility Type: S~-1°7 Jj New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** P U m-? 9-Uovtr.N ow S-Y5 T,v (Initial) Wastewater Flow: GPD
(See note below, if applicable''A
,j
~varq (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size R ® ® d gallons
Pump Tank Size 1, b b ® gallons
Pump Requirements: ft. TDH vs.
Conditions: 4Nmy4y\ oC
Exact length of each trench 3 CDC) feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. t a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
V A
Trench Spacing: cl Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
Q
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. L-i r--
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**(f 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:
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
Lonstructeon Authorization is subject to complia rove' s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~ Date: 1 l $ 11
ction Authorization Expiration Date: `8 L6
HTE# D -5
Permit # x`6`1 :--(,o
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
3~L
PROPERTY LOCATON: C--~1QQ-C-- s5 C-1 A vcu~~ qZ
SUBDIVISION C1QQ F-5s R0> ,FrC- LOT #
1e 111
w,~vNA «N
P o,17~
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: ~M 3E,-:)Qo(I A Design Flow (.1949): LN 05 Property Size:
Location of Site: Property Recorded:
Water Supply: t3Rublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method Aug Boring ❑ Pit ❑ Cut
Type of Wastewater: -Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY OTHER
1 .1940 .1941 PROFILE FACTORS
L Landscape Horizon .1942
E Position/ Depth 1941 .1941 Soil 1943
# Slope % (In.) Structure/ Consistence Wetness/ 1956
Soil Sapro
Texture Mineralogy Color Depth IN. Class
d LS ,
Or-
SCL arts , 1
v
ofile .1944
Restr estr Class
Horiz & LTAR
sn'c rl 3)
~1 a;_1
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (
1948):
Available Space .1945)
.
Evaluated B
:
System Type(s)))
~f~0
" a•
y
Others Pre
t
Site LTAR
,v~
sen
: