IPACHTE#~ Harnett County Department of Public Health
Imarovement Permit 2 6 9 5 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C-ie'L(--5S C ~tCL~~r~ Q.-
ISSUED TO: QW'- a na C.. SUBDIVISION C.;-19(LC:s5 Poi J E LOT # a
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5''C]
Proposed Wastewater System T e: a- 1 G 'P, Q C ;-'I ® N S Y~ :err,
Projected Daily Flow: GPD
Number of bedrooms: --A Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes >~!Uo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community , K Public ❑ Well Distance from well 1®0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~QL,-NS Date: 1`-'A `-.N. SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of o hermits. The permit holder is sponsible 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
Reauired 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: ~)'Q. 'Am~,vv \Nc, PROPERTY LOCATION: C--IF a 55 C-'~ VtLC.\A Q-D
SUBDIVISION C-il?C&F-S5 Pd,~,ai E LOT # a'°
Facility Type: New ❑ Expansion ❑ Repair
Basement? F-1 Yes No Basement Fixtures? El Yes No 46,
Type of Wastewater System** 6 C1c 9 ys Ems, (Initial) Wastewater Flow: GPD
(See note below, if applicable p
o1S°/a °`eJUG,i }aU ~ys~~, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I CC) p gallons Exact length of each trench `i?4 feet Trench Spacing: C) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: E5- inches
Maximum Trench Depth of: 1~°a 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 (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: / understand the system type speciped is different from the type speciped on the app/ication. / accept the speciTcations of this permit.
Owner/Legal Representa . at e: Date:
This Construction Authorization is subject to revoca i the site lat, 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 subj cct-% romplianc ' h t o ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3
Authorization Expiration Date: 3
HTE# 5-a'~3 ) Permit # U r`")
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C.°i 92,:ss
ISSUED TO: SUBDIVISION e iP2 s5 o~N LOT #
Authorized State Agent: Q~= `o1~Y6tt-rio~ Date: -Ak -
C.~IP2G55 G~aUcZC~1 ~
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Department of Environment; Health and Natural Re
sources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot
SOIL/SITE EVALUATION
File
for ON-SITE WA
Code:
STEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: t t ~~_~UMq5 Design Flow I949).A Property Size:
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
B ❑ Spring
Evaluation Method;❑uger ring Type of Wastewater: Sew e ❑ pit ❑ Cut
aS El Industrial Process ❑ Mixed
R
O
F
I
L
E
SOIL MORPHOLOGY
.1940
.1941
Landscape
Horizon
Position/
Depth
.1941
1941
Slope %
(In.)
.
Structure/ Consistence
Texture Mineralo
IJ-/0 /
v JG,
6
kZ21 c_14 f
37-'l z Ssk /fz /
.1942
Soil
Wetness/
Description Initial R air System Other Factors (.1946):
S ste Site Classification (.1948): fe'
Available S ace .1945
S stein T S) Evaluated By:
Site LTAR Others Present: ars
❑ Other
OTHER
fLE FAC
.1943
Soil
1956 .1944 Pro File
Sapro Restr Class
Class Horiz & LTAR
/T . YS