IPACHTE# t a- 5--~ Harnett County Department of Public Health
Improvement Permit 26881
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1x~
ISSUED TO: (Ds►,v ~o~-1SCtL~ SUBDIVISION CoeeC-<z. ';;7i> ~ LOT #
NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 'FD (.5 6wx~°S
Proposed Wastewater System Type: ~o.v v 6 rv r-% k ar4 A f^
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes 'KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public El Well Distance from well 100 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: ~ JGZ1 113. SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the 'ssuan 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 Improvem ~ermit 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..
onstruction 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: 1--x+224 v<w'-NNZC. PROPERTY LOCATION: T"% P'L'C.S `z
SUBDIVISION C-,3-pE2 LOT # ca
Facility Type: 5F C56 rx 'T~( New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes '~<No
Type of Wastewater System** Ch+y6r'oN AL (Initial) Wastewater Flow: 3Q0 GPD
(See note below, if applicable
cvv E;; N`~ , e1 N A L (Repair)
Installation Requirements/Conditions Number of trenches y
Septic Tank Size t e <5 0 gallons Exact length of each trench 50 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: 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 specifications of this permit.
Owner/Legal Representative -Signature. Date:
This Construction Authorization is subject to revocati_oZif-k site plan, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization4rubje to compliance wi a ft js, he d Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: uv aO'` 5 Date:
Constructf uthorization Expiration Date:'
HTE# \a-`
Permit # aM 1
Harnett County Department of 'Vblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: tA *QXS
_ SUBDIVISION CAP z LOT # Q
`35'
Date: 2` e'1
t50•
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: 1),
Proposed Facility: r~,<gCzoj3,,, Design Flow (.I949):'_z.,6~
Location of Site: Property Recorded: r
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:a AugerBonng ❑ Pit ❑ Cut
Type of Wastewater: '2 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
K
P
R
O
F
I
1940
SOIL MORPHOLOGY
OTHER
L
.
Landscape
Horizon
1941 PROFILE FACTORS
E
#
Position/
Depth
.1941
.1942
.1941 Soil
Slope %
(In.) Structure/
Consistence .1943 .1956
Wetness/ Soil
.1944 profile
5
Texture
Sapro
Mineralo Color D tlr IN.
Class
Restr Class
Horiz & LTAR
ti
-7--)o
(j,
•6
5
Description
Initial
Re air System Other Factors (.1946):
A
vailableS ace .1945)
S
stem
Site Classification (.1948):.5
S stem T
S)
C-0
Evaluated By: C1~-
Site LTAR
G4
Others Present: -
U
J
sct @.
t
~r- 3 6