IPACHTE# Harnett County Department of Public Health
hDrovement Permit 26905
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: IVC- n2? W
C
ISSUED T0.
vAA
0-
F' ~c.SUBDIVISION T.`A t'n11nf<-
LOT # //8
NEW
❑
REPAIR
,
, EXPANSION ❑ Site mprovements required prior to Construction Authorization Issuance:
Type of Structure: '
S' F J q b
X 6-q
Proposed Wastewater System Type: reeJ+_:c+:cA 4J'6,
Projected Daily Flow:
~3 l~ O
GPD
Number of bedrooms:
.3
Number of Occupants: max
Basement ❑Yes
L&Noo
Pump Required: ❑Yes
ANo
❑
Max be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
-
E Public ❑ Well Distance from well feet
Permit valid for: eFive years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: -5 ~2 I ~°12 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 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 Permit)
The construction and installation require
ments 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: ~VrtA
CiASC- ?'d^ PROPERTY LOCATION: /VC-
7 l,J
SUBDIVISION % n
~en
"Ak LOT #
Facility Type: SFJ
V' New El Expansion ❑ Repair
-
Basement? ❑ Yes ❑
No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
-2 S o r
(Initial) Wastewater Flow: GPD
(See note below, if applicable
--QZ5'-/y. +~~v~~ Jf (Repair)
Installation Requirements/Conditions Number of trenches 02
Septic Tank Size /000
gallons Exact length of each trench / 00 feet
Trench Spacing: e/ Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of. /r°-%L6 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
Conditions: 1) -ckr
4-,, Oc-- NG bCC- ~ v.✓. c~~
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the ryrtem type specified it different from the type specified on the application. / accept the rpeinifcationf of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a chance in nwnprshin of the cite Thic
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. SEE ATTACHED SITE SKETCH
Authorized State Agent: w 4Fe Date: 1"7,- X-9 /2
Construction Authorization Expiration Date: 3 z a/ 7
HTE # /oZ --5-- A 8 V.7 ~ Permit # nZ k. q o 5"
axnett County )e t'll-tillent of Public He(alth
Site Retell
/ r( PROPERTY LOCATON: A(C
ISSUED T0: , YX4/l CGASl/'vc`[': on SUBDIVISION ~`:n g~~ Peen f~ LOT # I /8
Authorized State Agent: Date: /~2,2-
/0(.
/Sf
J`/I
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: -3
Proposed Facility: Design Flow (.1949):
Location of Site: ~ Property Recorded:
Water Supply: L~!I rublic❑ Individual ❑ Well
Evaluation Method: Auger Bo 'ng ❑ Pit ❑ Cut
Type of Wastewater: [Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
fl a 4a
P
R
O
F
I
.1940
SOIL MORPHOLOGY
1941
OTHER
L
Landscape
Horizon
.
PROFILE FACTORS
1942
E
#
Position/
Slope 5Z
Depth 1941
(In.) Structure/
.1941
Consistence
.
Soil .1943 .1956
Wetness/ Soil
.1944
Profile
Texture
"3(
Mineralo
Sapro
Color D th IN. Class
estr Restr
Class
Horiz & LIAR
c'
y
~_5
S~Uki JcI
(l rff~~
/~yR~~, J-1"
Zs
-vv
q0"
Description
Initial Repair System
Other Factors (.1946):
A
i
S stem
Sit
e Classification (
1948):
va
lable S ace .1945)
S stem T S)
~v
.
Evaluated By:,6l,-
Site LTAR
_
J
Others Present: