IPACHTE# ta.-5`a~6 Harnett County Department of Public Health
Improvement Permit 26896
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Qc s
ISSUED TO: C. ~E. ~A ®rnE.S 5--L SUBDIVISION Q)P~rz-t~otq- LOT # _
NEW REPAIR ❑ E)(~NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5~s® ( ~ ~ ~ c~-
Proposed Wastewater System Type: °2.5 `ro - -'D U L~ to DM
Projected Daily flow: 1-4'1 ® GPD
Number of bedrooms: L-'~ Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 OG feet Permit valid for: Five years
Permit conditions: - ❑ No expiration
Authorized State Agent:: NNS Date: tat 1'A- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e is a of other permits. The permit holder 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 gZent 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 per
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: c.~ G V'~oc-C.S -a-C-- PROPERTY LOCATION: ~c~cs
( SUBDIVISION Oc+~cnct LOT # B
Facility Type: `'70 `'A (6 a-~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** °(Q Q~ i crt , Qs ,4 Sy i t-~ m (Initial) Wastewater Flow: L 10 GPD
(See note below, if applicable
10 O~ o ue4 m -N3 S ys E n -(Repair)
Installation Requirements/Conditions Number of trenches Li
Septic Tank Size t r'®® gallons Exact length of each trench 6
Pump Tank Size Lcoo® gallons Trenches shall be installed on contour at a
t~ ~tEEC~~O Maximum Trench Depth of: tt-IC)
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
feet Trench Spacing: Feet on Center
Soil Cover: Co-11 inches
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 specired is different from the type specired on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if_the 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 s to compliant • the ion_ol*,Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~ :N® Date: a
st tion Authorization Expiration Date:
H T E # -'A ~ Permit #
Harnett County Department of INiblic Health
Site Sketch
PROPERTY LOCATON: Q CDC's
ISSUED TO: SUBDIVISION ~a• ,a-' LOT
Authorized State Agent: \Q%45 `C~c ry~n S c, L~c~floCt}-) Date: J l 611`
~oZ
air
L~tir.cv~~vG ~R,
Department of Environment; Health and Natural Resources }
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
Code:
for ON SIT '
E WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: (QCV/ 3 r- Design Flow (.1949): Lj3 0 ~ Property Size:
Location of Site: Property Recorded:
Water Supply:,Public❑ Individual ❑ Well
EvaluationMethod:j`` ~AugerBoring ❑ Spring
Type of Wastewater: Sewage ❑ Pit F1 Cut
❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941 PRO1
L Landscape Horizon 1942
E Position/ Depth 1941 .1941
# Slope % I~ Soil
Structure/ Consistence Wetness/
Texture Mineralo Color I
`\1
d 14 C_
"J,5 INC
+ -5(
G s v r- r;s
Initial Repair System Other Factors (.1946):
System Site Classification (.1948): O
Evaluated By:
Others Present:
❑ Other
OTHER
ILE FAC
.1943
Soil
.1956
Sapro
1944 Profile
Restr Class
Horiz & LTAR
U~5
F5
?s
v5.