IPACHTE# 1;l,"S-~ab~r~" Harnett County Department of Public Health
hDrovement Permit 26870
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: gay,& Z,
ISSUED TO: Cymc3Fa,L_r" "\u ~VAC, SUBDIVISION aZ) LOT #
NEW REPAIR ❑ E X PS IGN I] Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `z-) 'x 1'
Proposed Wastewater System Type. `Z-S% ov0s -n $N '-~J 5 CTN
Projected Daily Flow: t-$ o GPD
Number of bedrooms: L-)r Number of Occupants: C~Z max
Basement ❑Yes No
Pump Required: ❑Yes -IKNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well > ®O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 0 yZi_1 1-i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss c f other permits. The permit holder is re 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 Improv 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: W1 A2'4:t' 9Rrb
SUBDIVISION P~sr~E~orzD LOT #20
Facility Type: tv c-1~-1 New ❑ Expansion ❑ Repair
Basement? ❑ Yes !r~< No Basement Fixtures? ❑ Yes No
Type of Wastewater System** _ 2l.S`Yo REovG~~ y Y5-N'C;.rr (Initial) Wastewater Flow: GPD
(See note below, if applicable C
(Repair)
Installation Re uirements/Conditions Number of trenches 3
Septic Tank Size O ' gallons Exact length of each trench ® feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: )ig-,- inches
Maximum Trench Depth of, 2'til 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 specified is different from the type specified on the application. / accept the speciTcations of this permit.
Owner/Legal Representativ ature: Date:
This Construction Authorization is subject to revocation ' site pl Zkt,s he intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is so compliance wi e n and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: -
Cons rut ' Authorization Expiration Date: 1
HTE# '5 - ~S 1-&-r.), Permit # 2k 415~')
I
i
D
G
al.
2~l~'
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:
Proposed Facility: Design Flow (.1949): ieMCl
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method 1 Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 134ewage ❑ 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
De
Structure/
.1941
Consistence
1942
.
Soil .1943 .1956
Wetnes
/
.1944 Profile
Texture
Mineralo
s
Soil
Sapro
lass
Color D th IN. C
Class
Resir Class
Horiz & LTAR
ld
L~
rR"
1"~~ 9 f
t" 5
e
Z..j S
iU
Description
Initial Rep it System
Other Factors ( 1946):
Available Space .1945)
S st in
Site Classification (.194$): pj
S stem T
s)
lh
Evaluated B
Y: c~
Site LTAR
Others Present: v