IPACHTE# Harnett County Department of Public Health
Improvement Permit 2 6 8 8 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: QcSc,6 QZ _
ISSUED TO: C.C! NV-~ C&Q 016 SUBDIVISION ® ek,tr y s;rr LOT #
NEWX REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 v`"~ xS
Proposed Wastewater System Type: QQcMP ) v 2S°lo Dvcx.~QS~
Projected Daily Flow: ®(3 GPD
Number of bedrooms: 15' Number of Occupants: ) fJ max
Basement ❑Yes 'X No
Pump Required;4?Qes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supp) : ❑ Community -X Public ❑ Well Distance from well 102 feet Permit valid for: .Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 5 Date: S laZ ~ Y.)- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the uance 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 Improvement 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 Permio
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 T0: PROPERTY LOCATION: Q?-9
~ SUBDIVISION 00,-V- ora LOT #
Facility Type: S L~'~SLiJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~K No Basement Fixtures? ❑ Yes -)!q No
Type of Wastewater System** yr-v-7o Zr--c) uc;,,a'T'J y~-N7-sc\ (Initial) Wastewater Flow: GOO GPD
(See note below, if applicable
Pv mQ d
aS KC-Dvc„' I do (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size a~ gallons
Exact length of each trench feet
Pump Tank Size ,a~C) gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. V~ ° 3~, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: G ~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 speciped is different from the type speciped on the application. / accept the specifIcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation a to pl lot, 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 subjeq_%,compliance the r ions sand Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: wx\s Date: 1 Y:~
Authorization Expiration Date
HTE# Permit #
Harnett County Department of ablic Health
Site Sketch
\ PROPERTY LOCATON: Q o c.5
ISSUED TO: SUBDIVISION 4 P+ c c+,d ~'C LOT # ~
Authorized State Agent: 62L~rs 0~-tiyC~L~®z-~0 Date:
133 '
®A+N nt F~EL(~ w,1 a. C3 LAy~ U
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: l 1;,
Proposed Facility: 5` bG*DQ 005",5 Design Flow (.1949):.G 00 CS)
Location of Site: Property Recorded: +i~~~
Water Supply: Public[] Individual n Well
Evaluation Method: uge ❑ Pit Cut
Type of Wastewat : ~Boting
ewage ❑ 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/
Depth
.1941
.1942
.1941 Soil
1943
Slope %
(In.)
Structure!
Consistence Wetness
.1956
Soil
.1944 profile
~j
Texture
Mineralo
Color
Saps
D th IN. Class
Restr Class
Horiz & LIAR
s
DI-A
G 5
> >vS Q
s -8
3
c-L)N
G 5
U~ s~5~
0
Description
Initial
Re air System Other Factors (.1946):
Available S ace .1945)
S st
'IV
Site Classification (.1948):
S stern T
s)
Evaluated By:
J
QA
Site LIAR
G :
Others Present: