IPACHTE# ►a.:-a~3o~ Harnett County Department of Public Health
Improvement Permit 2 6 9 0 0
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: ``~OS`a ~->C1PROPERTY LOCATION: E62ctwta V-D
C~3 01 uo$' 5 SUBDIVISION C-A2, >.„,oE P» LS LOT #
NEW X REPAIR ❑ ~PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 56
Proposed Wastewater System Type:
Projected Daily Flow: 3 ~O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well 1 O O feet Permit valid for. Five years
Permit conditions: ' ~ ❑ No expiration
Authorized State Agent:: WN Date: D-e tiSl SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other its. The permit holde~ 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 II 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: ncSS \Apc:gy~i_p'rcA_5, PROPERTY LOCATION:
SUBDIVISION Es LOT # ~
Facility Type: CO (~y X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes No
Type of Wastewater System** 2-S °fo '2.c.flve~ lc~ , Sys GM (Initial) Wastewater Flow: 3~0 GPD
(See note below, if applicable
2 2d
vc7v Qr-1 ~ySSGrn (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size L~ VC,) gallons
Exact length of each trench AZ,6 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. » 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 -lam inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specifed is different from the type specified on the app/ication. /accept the rpeciFcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect-te-cevocation if the site nlan. nlat. or the intandPd mP Ain- Tha rnn«r rznn Awhn,;-ti„n 611 - ue ,.,,,.r.-a ,.,k- .G.__.:_
Construction Authorization is
and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 2- ) N3
Constructf uthorization Expiration Date: a Ns
HTE# Permit # 00
Harnett (bounty Department of I'Ttblic Health
Site Sketch
ISSUED TO:
M
Authorized State Agent:
PROPERTY LOCATON:
_ SUBDIVISION Qi- C. 11 11 LOT #
S 117(3 Date: `al>s
1'-)4
t5p
W~
lam(,'
GA2SON C;
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 WAST Code:
EWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:? c?, r,,) Design Flow (.1949): 3f-0Pro e
Location of Site: Property Recorded: p rh Size:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Auger Boring ❑ pit ❑ Spring
Type of Wastewat : El Cut
'Q' Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941
L Landscape Horizon PROF
E Position/ Depth .1941 .19
# Slope .1941 Soil
l
Structure/ Consistence Wetness/
Texture Mineralo Color I
v*2"ew
±t6 ? `3 t C,L s
Initial
AR
System Other Factors (.1946):
Site Classification (.1948):
Evaluated By: 0,
Others Present:;
❑ Other
OTHER
LE FACTORS
.1943 .1956
Soil Sapro
.1944 I Profile
Restr Class
Honz & LTAR
45
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