IPACHTE#~IoZ's=aa3~o Harnett County Department of Public Health
Improvement Permit 26902
A building permit cannot be issued with only an Improvement Permits
PROPERTY LOCATION: C rz)T C/'►,Src- k eeA-
i
ISSUED T0:~r~C°` Liter. SUBDIVISION CyO~UI Pc:~f LOT #
NEW Z REPAIR ❑ t y EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: lb .39 CS3
Proposed Wastewater System T pe: S- ~ ?.eJUQ ' ~
Projected Daily Flow: Y9 ci GPD
Number of bedrooms: u Number of Occupants: max
Basement ❑Yes P/N-o
Pump Required: ❑Yes I"No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
/«y Date: .24 ~Z 8 1,2_01 2- SEE ATTACHED SITE SKETCH
Authorized State Agent::
The issuance of this permit by th ealth Department in no way guarantees the issuance of other permits. The permit holder 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 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 Permitl
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: e. /fiGA'to.~ 2 c• PROPERTY LOCATION: C, V-e Ck v Iti.
SUBDIVISION CyP rf PC, LOT #
T
Facility Type: fFf 5? New El Expansion ' ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: c1 ~L GPD
(See note below, if applicable f
aS"/ vwt: dti /~.-i- (Repair)
Installation Rees uirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench cZ qQ 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: 9 Feet on Center
Soil Cover: i12 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: 1 understand the system type specified is different from the type specified 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
err ■TTi r/lrr, rlTr rur Trrr
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. J HE AiiALncu 311L 3RUIX
Authorized State Agent: Date:' t4 (?°1 Z
/
57
Construction Authorization Expiration Date: 2 I~PJ 2d t7
Permit valid for: 2-five years
❑ No expiration
HTE# %a-4- ~6 3 99
Permit #
° OZ
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON: C "Y'
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent: Date: 3 /j 12-012-
/ V2-
i
sir
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 W Code:
ASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: oZ /~3
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply; Public❑ Individual ❑ Well
Evaluation Method: 0 Auger B ng ❑ Spring'
Type of Wastewater: ❑ Pit El Cut
Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941
L Landscape Horizon PROF
E Position/ Depth 1941 1942
# Slope % (In, .1941 Soil
Structure/ Consistence Wetness/
Texture Mineralo Color 1
S 7 G IVJ Y
aj_ fy ~ ~CZ JW r~rf fQ
Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): ~f
Evaluated By: M
Others Present: T
s
0 Other
OTHER
ILE FAC
.1943
Soil
1956 ,1,44 profile
'apro Rest, Class
:lass Horiz & LTAR
I,f s
ff