IPACHTE# 12 -S-`al`l Harnett County Department of Public Health
Improvement Permit 2 6 8 8 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~-!su 1-~~sas
ISSUED T0:~z_i c,z_c<. ~"10cr~` SUBDIVISION GA~2-1~tP, LOT #
NEW'X REPAIR ❑ EjANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Zs "SAS-3/
"fo~l,C,
Proposed Wastewater System Type: Pun+9"70
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes '4k, No
Pump Required:;kYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t0 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: CLG`~S Date: % SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit hol er 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 Improve eOrmit 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, .1957, .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: ~ z Q Zti ns~E.S PROPERTY LOCATION: fA t -L- L,- ,v t6 Qb
Facility Type: SAO `C~ x~
Basement? ❑ Yes -1K No Basement Fi
Type of Wastewater System" P U ~rca`Ta
(See note below, if applicable
p y rnp ? a
Installation Requirements/Conditions
Septic Tank Size V O o ® gallons
Pump Tank Size 00cD gallons
Pump Requirements: ft. TDH vs.
Conditions:
SUBDIVISION C,P,1L0L I :JP', Q a,~ s LOT #
_ New ❑ Expansion ❑ Repair
xtures? ❑ Yes \JZ No
Q. /v S (Initial) Wastewater Flow: Y,-,Q GPD
3- /Q ..FD ue-'- X aN (Repair)
Number of trenches
Exact length of each trench 1® O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 3 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing:1 Feet on Center
Soil Cover: 1'-4 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 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 ifZhe-sitee 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 a ~to~compliance the prpvisi o. La nd Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ?
Constructio orization Expiration Date:
HTE# 1a -5 - a)'t G
Permit # 2 C"M
Harnett County epartment of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: \4 )'A- U)OF,5
_ pSUBDIVISION C..wzcL) N ~a A4.3 } LOT # 53
Date: ~3 z I J 2
CKCLO1-1N;"
c mucJ-
Department of Environment; Health and Natural Resources
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE W AT Code:
Sr-WATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 1
Proposed Facility: -a E faIX co r, Design Flow (.1949): Property Si
Location of Site:
Water Supply: Property Recorded:
Public❑ Individual ❑ Well ❑ SpringEvaluation Method AugeBonng ❑ pit E3 Cut
Type of Wastewater: Sewage ❑ Industrial Process
~X ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941 PROF
L Landscape Horizon 1942
E Position/ Depth 1941 .1941 Soil
# Slope % (In.) Structure/ Consistence Wetness/
Texture Mineralo Color
L5 I
h
Cv1t ✓ t5Z. rt
I I L5 I t-
a~ 5 Q-
lu
UN -1Ii G
-75
•r=•~== I "at Repair System Other Factors (.1946):
S stem Site Classification (.1948):
ble S ace .1945
I T s) a ~ Evaluated By: CJ ~
"AR = 5 Others Present:
❑ Other
OTHER
'LE FACTORS
.1943 .1956
Soil Sapro
19 Profile
Rest, Class
Horiz & LTAR
~.3