IPACHTE# I'D--5 Harnett County Department of Public Health
Improvement Permit 26963
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: fyz, tC,G. 'XAacncee~~
ISSUED TO: C~OTsPj_-p SUBDIVISION LOT
NEW>< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: inc-l" J
Proposed Wastewater System Type: C-r4-1 Ort P>'L_
Projected Daily Flow: eJt~oO GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well iCQ feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \o~ • °'v ~C`s~~ Date: _ a- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of oti ermits. The permit holders respoksible 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. l
ISSUED TO: -,i nSGsz,t-,j C~ o r44~,LP PROPERTY LOCATION: Pn2wt~,G-. 4~S~c
SUBDIVISION LOT
Facility Type: MyQ 0 'r~; New ❑ Expansion ❑ Repair
Basement? ❑ Yes A No Basement Fixtures? ❑ Yes )ZNo
Type of Wastewater System" C tv-4 C__ ' -1G r13 P L_ (Initial) Wastewater Flow: 3~ C~ GPD
(See note below, if applicable
C.a N y Gnc'-~ 10 N Eat (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 'veD Q cn gallons Exact length of each trench 1®® feet Trench Spacing: 01 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 11-t- ® inches
Maximum Trench Depth of. QL4," 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: a. inches above pipe
Conditions: Q k inches total
WATER LINES (INCLUDING IRRIGATION) MUST RE ]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 spec/fled on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to-ion if the site plan, flat, 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 s 4ecthto compliance%kth~ bons oft ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constr ' Authorization Expiration Date: 3
FITE# Permit #
Site Sketch
C~ PROPERTY LOCATON: PYz ~c~. `Nas^Ac~C. L10
ISSUED TO: Y 4e(Ls c~0" PsL~ SUBDIVISION LOT # a
Authorized State Agent: tZIc~'S ~.vv~ oL~sp Date: 3
i50/
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:
Proposed Facility: Design Flow (.1949):3gp Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual E] Well
Evaluation Method6'uReB ❑ Spring F1 Other
oring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941 OTHER
L Landscape Horizon PROFILE FACTORS
E Position/ Depth .1941 1942
# Slope % ((n, .1941 Soil .1943
Structure/ Consistence Wetness/ Soil
Texture Mineralo Color
~ D th IN.
T
e3 >C G.- ~ s5 JSP
>a ~ 55
Description
LT
Initial Z7 em Other Factors (.1946):
S stem Site Classification (.1948):
c v - Evaluated By:
Others Present: CX
1956 .1944 Profile
apro Restr Class
;lass Horiz & LTAR
.Lj
fle)
. a.1
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