IPACHTE# /Z's=~Z 0ys__i Harnett County Department of Public Health
Improvement Permit 26907
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: It L~„ caj' ~d.
ISSUED V' TO: /7 l°w~ Ca ~t ~ru~ ~•dr~ SUBDIVISION LOT # `l
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5- F b So >t '
Proposed Wastewater System Type: C-o-.t/Q. a~o,Q
Projected Daily Flow: 7 GPD
Number of bedrooms: .3 Number of Occupants: max
Basement ❑Yes 2"No
Pump Required: ❑Yes PKNo ❑ be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community MaPublic ❑ Well Distance from well feet Permit valid for: KeF_ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 3Z t-/Zq/Z SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 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: /9741,^J'-c- CCi_,r4 4;11'. PROPERTY LOCATION: r~rt-
SUBDIVISION CQ f .>J~f~ LOT # '7
Facility Type: S'F ENew ❑ Expansion ❑ Repair
Basement? ❑ Yes Fief No Basement Fix ures? ❑ Y s ❑ No
Type of Wastewater System** C o a V'e-..s.'t • o ~ (Initial) Wastewater Flow: Y G G GPD
(See note below, if applicable
Cc) tif " (Repair)
Installation Requirements/Conditions Number of trenches j
Septic Tank Size /000 gallons Exact length of each trench v3a0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. C,Q inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
~c~:o.~
Conditions: ,10
r0 4-%c n'~v cc (-v ,see at -I on r o
Aggregate Depth:
a F c~trc3 „ I tnef
s
inches below pipe
02 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: / understand the system type specified is different from the type specified on the app/icatiom / 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
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: /f Date: A la Cl1Z
Construction Authorization Expiration Date:.-7f A
° r7
HTE# /x-57-Mq5 7 Permit # `Q
I aranett County Depai nnent o a 1'a Mica Health
Site Sketch
PROPERTY LOCATON: ~r~p+\`-~Ca,r r~.
ISSUED T0:~/~-~-~`'C ~~~15dyc_~ c~`. SUBDIVISION LOT # `7
Authorized State Agent: ( / Date: 3 / b
'E-d on 2~4t
t
Th✓ ~ , 87
1171
d hr : d L can-c-
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: 1Z 1Z° /
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:Q A gerring El Pit ❑ Cut
Type of Wastewater: BoSewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
SOIL MORPHOLOGY
1940
1941 OTHER
L
E
.
Landscape Horizon PROFILE FACTORS
1942
#
Position/ D epth .1941 .
Slope % D .1941 soil .1943 .1956
Structure/ Consistence Wetness/ Soil
•
Profile
S
Texture Mineralo apro
Color D th IN. Class
estr
Rstr Class
Horiz & LTAR
Gf Q ~1 Z
/z- cq s-~4 C, ISSN'
p~
y
r7- 6 U f~ ~l ~ ~SIf~
6 - ~ t G /Z- J- /vj"v°
G -I5 C-lz r
r'e ~jc 1-1~5-1
f~
v 8 * C f CI
Description
Initial Repair System Other Factors (.1946):
A
il
S stem Site Classification (
1948): 1"r
.
va
able S ace .1945) Evaluated B
S stem T e(s) c E/LL/ C ^a.
-
Site LTAR
:
Others Present: P'
L