IPACHTE# ' al`b Harnett County Department of Public Health
Improvement Permit 2 6 8 7 4
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ocz ?9
ISSUED T0: y n K cvS ~2yG~ C) 0 ti N G SUBDIVISION ra,aTi s gat ,,P LOT # ~
NEW,< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~7Q (GO-nGQJ
Proposed Wastewater System Type: ~~°l~ ~Govu-5~t5rJ SZS~G,t~
Projected Daily Flow: O GPD
Number of bedrooms: U11. Number of Occupants: max
Basement ❑Yes i< No
Pump Required: ❑Yes ❑ No 'X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community , Public ❑ Well Distance from well l 0Q feet
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the iss
site is subject to revocation if the site plan, plat, or the intended use changes. The Imps
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 1 ,2. SEE ATTACHED SITE SKETCH
other permits. The permit holder is re onsible for checking with appropriate governing bodies in meeting their requirements. This
tent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: yN u Co Ns 2~c, s jN ~14 Cr PROPERTY LOCATION: Q ocs ~Z
SUBDIVISION aa15 ESZs
R,oS.Z LOT # $
Facility Type: X(bo~
X New ❑ Expansion ❑ Repair
Basement? ❑ Yes >9, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 0
sk k)C a t (3 N "Z~)) sN
(Initial) Wastewater Flow: 140 GPD
(See note below, if applicable
Z~/,
(ZZ0 uL~ i cr A '~'I 57 Gm (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size ~ n c) O gallons
Exact length of each trench 30 0 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: \N R ~ 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
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: 1 understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if t lat, 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 s to compliance s~ tthe prgrikns_o and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: v J 0~5 Date: \ '13 Y-~-
Constructio thorization Expiration Date: 1'
HTE# V~-= 5 lL~~ Permit # a
05)
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V2~ o2s- ~e~a~ sp fir- 1-o
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: Lj Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method: Au er Bo ' ❑ Pit El Cut
Type of Wastewater: "Ell Sewage ❑ 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
#
Positiord
Slope %
Depth
(In.)
.1941 .1941
Structure/ Consistence
.1942
Soil .1943 .1956
Wetne
/
.1944
Profile
L 5
Texture Mineralo
ss
Soil Sapro
Color
De th IN. Class
lass
estr Class
Restr
Horiz & LTAR
1
s- idle
C;
X- S (,t_ T-Q S
c
Description
Initial
Repair System
Other Factors (.1946):
S Ste
Site Classification (.1948):?5
Available Space .1945)
Evaluated B v-
S
System T
e(s)
a5%~ aS`1r2G~
,
Others Present: :
Site LTAR
z,