IPACHTE#) Harnett County Department of Public Health
Improvement Permit 26960
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 11 m ~tls to ~N
ISSUED TO: J ® SUBDIVISION LOT #
NEW„X REPAIR ❑ ANSION ❑
Type of Structure: 577) two x~`1
Proposed Wastewater System Type: C.ci N~ C~'s~ O %4 p."
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well l00 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: ~1~ 51 Y'a- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuao her permits. The permit hold 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 Improveme mit 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: 77F
t.► ~L.G 00 PROPERTY LOCATION: S'h` C.uc~n.~N
SUBDIVISION LOT #
Facility Type: SFQ C%New ❑ Expansion ❑ Repair
Basement? I-] Yes '?K No Basement Fixtures? ❑ Yes No
Type of Wastewater System** CNyG P-X< ) 0 N WL- (Initial) Wastewater Flow: 4'?0 GPD
(See note below, if applicable
Cc,t`ryE>`f i ~ 0 rt AN L (Repair)
Installation Requirements/Conditions Number of trenches :E§-
-Septic Tank Size ► gallons Exact length of each trench 1 c, 0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches
Maximum Trench Depth of. \Ed '30 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 speci(ed on the application. / accept the specipcations of this permit.
Owner/Legal Represe ' Si nature: Date:
This Construction Authorization is subject to revo . if a si n, 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 subjcompliance the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: fZG-"5 Date:
on Authorization Expiration Date: 3
HTE# 5-
rnett County Department of Public He(alth
Site hetcb
ISSUED TO: -,Zi
Authorized State Agent:
GJ 2P;w>Z4 r-
N 's
s
Permit # a()clb(3
PROPERTY LOCATON: -7cn CatcZsLT 9,Z
_ SUBDIVISION LOT #
1 1
ate: 3 f~11~
41
5q0/
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 )a1t?.'p
Proposed Facility: 1_~ ->G~qc0 S Design Flow (.1949): e--'j 0
Location of Site: Property Recorded:
Water Supply: tlkublicEl Individual ❑ Well
Evaluation Methodq Boring El pit ❑ Cut uger
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
O
F
I
SOIL MORPHOLOGY
.1940
OTHER
L
.1941
Landscape Horizon
PROFILE FACTORS
E
#
Position/ Depth .1941
Slope /o 1941 (In.) Structure/ Consistence
1942
WetSoil .1943 1956
ness/
•1944 Profile
Texture Mineralogy
L y
Soil Sa ro
Color D th IN. p
Class
Restr Class
Horiz & LTAR
'vc-
jh1J
5u-
Description
Initial Repair System
Other Factors (.1946):
Available S ace .1945) S ste Site Classification ( 1948): $5
S stein T e(s) r r=U
Evaluated By: 0-<
Site LTAR
Others Present: gr1