IPACHTE# t a-S"- ~aoa~ Harnett County Department of Public Health
Improvement Permit 26886
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Q oes
ISSUED TO: 'r ~A C0 ctiV~'C~S SUBDIVISION P~~-~.o e~tr LOT #
NEWT' REPAIR ❑ EXPMjSION ❑
Type of Structure: 0 '
Proposed Wastewater System Type: v mp "S 2°/o OUG, s t
Projected Daily Flow: (L-, ® G GPD
Number of bedrooms: .5
Basement ❑Yes I
Pump Required:',Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions: _
Number of Occupants: 1 ~J max
Site Improvements required prior to Construction Authorization Issuance:
❑ May be required based on final location and elevations of facilities
Public ❑ Well Distance from well l~ feet Permit valid for. Five years
❑ No expiration
Authorized State Agent:: \ . -""5 Date: t 1' 11 t'.). SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce 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 Impr ment 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: Q i x sTctNC i OQS PROPERTY LOCATION:
SUBDIVISION 0P,LOT # N3
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes I' No Basement Fixtures? ❑ Yes -'~g No
Type of Wastewater System** umPTo ~c 42 ,cs~ 13N yCn (Initial) Wastewater Flow: CobC~ GPD
(See note below, if applicable
P uv ts-: s ac~l (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size US-2, 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: (o inches
Maximum Trench Depth of: V%-30 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 specircations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is suble vocation if t 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
Construction Authorization is YQ~to complia wi 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 )
ction Authorization Expiration Date:
HTE# r~- 5- 'D"D - Permit # 6
Harnett County Department of 1'ublie Health
Site Sketch
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'~ l
Proposed Facility: 5 6F-0ct0c wH Design Flow (.1949): C0 0
fed
Location of Site: Property Recorded:
Water Supply: bTublic❑ Individual ❑ Well
Evaluation Method: Atiger ❑ Pit ❑ Cut
Type of Wastewat : 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
#
Position(
Slope %
Depth .1941
(In.) Structure/
.1941
Consistence
.1942
Soil 1943
/ 1956
Wetn
.1944 Profile
Texture
Mineralo
ess
Soil Sapro
Color D tlr IN. Cla
Restr Class
ss
Horiz & LTAR
0,31
c s
~tfi ~s1 „r
1? i
J
i
044-6
v (p
Description
Initial Repair System Other Factors (.1946):
S st in
Site Cl
assification (.1948): 9
Available Space .1945
_.System Type(
s)
l~ ~5 j
Evaluated By: C~,
Site LTAR
- S
Others Present:
;:~rti