IPACHTE# -a.-5- ~ Harnett County Department of Public Health
Improvement Permit 26953
A building permit cannot be issued with only a Improvement Permit
PROPERTY LOCATION: ~ vEtZ1~111-~..5
ISSUED TO: ~1~ c~P~ ~E, SUBDIVISION ao~ Z P1 LOT #
NEW"! REPAIR ❑ ENSION El
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 53!Q Q5--J'^ G
Proposed Wastewater System Type: as-/b V4-fPv p yV EM
Projected Daily Flow: Z) GPD
Number of bedrooms:- Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes <No ❑ May be req fired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Well Distance from well 1 C>O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: '"3 ~u%tiS Date: 5-12al)~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance hermits. The permit holde~ is resphsible 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 Posit 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, .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: ~-N Ct ~s ; c~p1 tEa2 PROPERTY LOCATION: 0'4ti1~ttS R c~
SUBDIVISION \4 0', -1 SON [ R-. LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes -Nf\ No
Basement Fixtures? ❑ Yes No
Type of Wastewater System'
D.:5 e
~,EwC';T~0M 5-, Gray
(Initial) Wastewater Flow: 3~b GPD
(See note below, if applicable kl
~°lo
vG.l 0 s' (Repair)
Installation Requirements/Conditions
Number of trenches 1
-O
Septic Tank Size 1® ® ®
gallons
Exact length of each trench 15
feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: "foci inches
Maximum Trench Depth of. %d- 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 (IN(LUDING 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 specipcations of this permit.
Owner/Legal Representative S re: Date:
This Construction Authorization is subject to revocation i to plan, 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 `Eacompliance wit ' s aw d Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ~a
Constructio thorization Expiration Date: ~
HTE# ~2-~ 5
Permit #
Harnett County Department of niblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: C) vE2~o
SUBDIVISION WA,-SOty ~"Rq LOT #
Z~ (OLINoy- 2-1--s5 Date:
a1-v1
L}3S°
Department of Environment; Health and Natural Resources }
-,.]vision of Environmental Health
On-Site Wastewater Section Sheet:
Property ID:
SOIL/SITE EV Lot
ALUATION R S STEM File
for ON-SITE WASTE W E
Code:
Owner: Applicant.
Address:
Proposed Facility: 3 Date Evaluated:~J1'~ \
Location of Site: 5" GAot, Design Flow (.1949): 3 "p"a
Water Supply: Property Recorded: Property Size:
lic❑ Individual Well (fir qtr
Evaluation Method:a Aug Boring
Type of Wastewater: ❑ Pit 4) ❑ Spring
Sewage ❑ Cut
P ❑ Industrial process ❑ Mixed
R
O
F
1 .1940 SOIL, MORPHOLOGY
L Landscape Horizon .1941
E Position/ PRO
# Slope % th .1941 .1941 .1942 '
Structured Consistence Soil
Texture Mineralo Wetness/
Color M
>1"lYi ~ c ~'rt :ASS ~ d (J
❑ Other
OTHER
FILE FAC
1943
Soil
.1956
Sapro
1944 Profile
Restr Class
11oriz & LTAR
of
s5ui. sS15P
V
~ ~Iq3 1
!~D
j .6
Initial Repair System
S Ste Other Factors (.1946):
= /
Site Classification (.1948):
:
Evaluated By ~j
_f_ IX Others Present: