IPACHTE# 0- 5~a 3 G Harnett County Department of Public Health
Improvement Permit 2 6 8 9 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: noc,s Q-Q
ISSUED TO: M c~ V~0s 5 L -LC SUBDIVISION Qa\c-movj LOT # 4
NEWX REPAIR ❑ )PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5C'( Ll (D1
Proposed Wastewater System Type: Z S®2a y(3 \ t-q 5"JT Em
Projected Daily Flow: G C~10 GPD
Number of bedrooms: 5 Number of Occupants: t CO max
Basement ❑Yes :K No
Pump Required: ❑Yes 'DOo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \ O O feet Permit valid for. Five years
Permit conditions: NNI~K ❑ No expiration
Authorized State Agent:: ` 5 Date: .2 >o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f other permits. The permit holder is resionsible 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 x`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, .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 TO: Mr-V-e e. ~AQmes LL C, PROPERTY LOCATION: ~ ocs
SUBDIVISION flA~r,o,y LOT
Facility Type: S~--Q New ❑ Expansion ❑ Repair
Basement? ❑ Yes K No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** ~~al~ C o vL~ z o,, S y s~ ~ rn (Initial) Wastewater Flow: ~®O GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Na-.s C) gallons Exact length of each trench VD feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: - 18 inches
Maximum Trench Depth of. l',-3Q 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 10FT. 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 speciFed 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 revoca the site p 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 sucompliance wit he p "ons a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: y R~ Date: a Nd N
uction Authorization Expiration Date:
HTE # l a-- 5- X31
Permit # 'a (.~3`T5
Harnett County Department of 1'i-tblic Health
Site Sketch
PROPERTY LOCATON: fl6C.s
ISSUED TO: V cX~ SUBDIVISION LOT #
Authorized State Agent: e~ Date: l o~ 1 a
F-~*C--C-VS 1v1- 0 u-
Department of Environment; Health and Natural Resources x
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE 'WAS Code:
TEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: i3 i`C,(2Zn f-,,,, Design Flow (.1949): (,-ob
Property Size:
Location of Site: Property Recorded:
Water Supply. (Public❑ Individual ❑ Well 13 S rm
Evaluation MethodA er Boring ❑ Pit p g
Type of Wastewater: Sewage ❑ Cut
❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941
L Landscape Horizon PROF
E Position/ Depth 1941 .1942
1941
# Slope % (in.) Structure/ Consistence WetSoil
ness/
Texture Mineralo Color
1 5--701o C) ~tR~ iv~,~r
a d~t6 ~ S
3
C `i 1 NZr
C~'j3 cJjC c ~1 aJjNP
Description Initial Repair System Other Factors (.1946):
S ste
Available S ace Site Classification (.1948):
.1945)
S stein T s) aS~r- 0(p) Z C=~ Evaluated By: (iK
Site LTAR Others Present: 6n
trxV0y 3 0
❑ Other
OTHER
ILE FAC
.1943
Soil
1956 .1944 I Profile
S!!Pro Restr Class
Class Horiz & LTAR
e5