IPACHTE# 1a-~`~3 ~11 Harnett County Department of Public Health
Improvement Permit 26954
A building permit cannot be issued with only an Improvement Permit
l PROPERTY LOCATION: VNLZ0 V GP LQ
ISSUED TO: Md55 I~Qtr~C'iC)I1-06xto SUBDIVISION MGQ t5ve;P~t(~ LOT #
NEW' REPAIR ❑ f~(PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: sc'O ( ~O ;3'S
Proposed Wastewater System Type: ~)-S Vg R.,EbvG;,Ord Sy~mErn
Projected Daily Flow: 3 (c ® GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes ~ No El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public 1:1 Well Distance from well ~no_ feet Permit valid for: X Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: ~ 105 Dater-"I I3 6i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan er permits. The permit holder iik responsil}lle 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 Improvemeit 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 TO: ' "NO 65 40 S'110 Q11 CJ S,(;5 PROPERTY LOCATION: M-Q) ov COt5.1.A0 n
`o
SUBDIVISION ff~ c,Q t~,1. W-0 1,R, L- LOT # 7_
Facility Type: S PQ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'D<No
Type of Wastewater System** a-S °/d O y G't t0~ 5 ys-s L a1 (Initial) Wastewater Flow: 3~~)~ GIRD
(See note below, if applicable
25°lP ~.~v10~f ~rs~G- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1 0(7) ® gallons Exact length of each trench 6a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: V~ .a0 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: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
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 speciTed is different from the type speciTed on the application. / accept the specifications of this permit.
Owner/Legal Representative Si ure. Date:
This Construction Authorization is subject to re lion a site plan, plat, or the intended use changes. The (instruction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is compliance w thNe of the vnd Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Cons do Authorization Expiration Date:
HTE # I a'S - 1 j
Permit # 5 L-}
Harnett County Department of F ublic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: s v o~-.rv ~52~ d SUBDIVISION c,Oo c~GD.Ln PLD,t LOT #
Authorized State Agent: ~-C.~S lb1-1v6~n- 10I-WM9Date:
4pbk~0
QL41"
000
~X~~ 1' l pC,,~
Department of Environment; Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated'
Proposed Facility: 3 4
Q~JO>n Design Flow(.1 949): 3b6
Location of Site: Property Recorded: -
Water Supply: AerBotg blic❑ Individual Well
Evaluation Method: ❑ pit ❑ Cut
Type of Wastewater: -0 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
.1940
SOIL MORPHOLOGY OTHER
1941
L
Landscape Horizon
PROFILE FACTORS
1942
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure)
. .1941 Soil 1943
Consistence Wetness/ 1956
Soil
.1944 Profile
1•.5
Texture
Sapro
Mineralo
Color D th IN. Class
Restr Class
Honz & LTAR
~t 5LA',
prl sr~
Pf
3b'~
s3'$. SLL-
Fri ss~ ~ ~
3~,`
F'5
e yn,~
:A
5~kst~
9n -55)sp
P j
LA
o s
~5~
pS
Description
Initial
Re it System Other Factors (.1946):
Available S ace .1945)
S ste
p
Site Classification (.1948): i.-5
S ste
m T e(s)
Evaluated By; IZK
Site LTAR
Others Present:
a