IPACHTE# 1a 5X1 Harnett County Department of Public Health
Improvement Permit 26964
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NC;-a--l
ISSUED TO: Y~N E'C} Ca M M NvACQ5 SUBDIVISION T G.Erf 'POl LOT # 1a L
NEW)< REPAIR ❑ E'ANSION I-] Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'Si7DL50,XL-1"
Proposed Wastewater System Ty e: ~~°1® E2~~vG~~®N SyS,~
Projected Daily Flow: 3 O GPD
Number of bedrooms: 3~ Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes 'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well Gd O feet Permit valid for. Five years
Permit conditions: ":Z-- - ❑ No expiration
Authorized State Agent:: > ) -15 c3-b \ Date: c_ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Healt Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking wit tropriate 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 si e. 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: KE.svcvE~11 C u nnG 5 PROPERTY LOCATION:
SUBDIVISION 'T TEN Qa~~sC LOT # N-n: .
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** ~
S~~o ZAVC.'sNQJ I -i5-~ GM (Initial) Wastewater Flow: _ GPD
(See note below, if applicable
x5°10 'RC111XSNV)A S15rF-W\ (Repair)
Installation Requirements/Conditions Number of trenches 1)
Septic Tank Size a d ® gallons Exact length of each trench -10 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 1$'a~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: G-l~, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
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: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is suble evocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the site. This
Construction Authorization is su ct o compliance th isio of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
[Authorized State Agent: jaS Date: "5 - `'~L-
truction Authorization Expiration Date: 3 l 1
HTE# Permit # ~ GH - 2,4 14(ahnett County )e .,11- nlent of i b ito Health
Site Sketch
_ PROPERTY LOCATON: NC,~
ISSUED T0:~~`s a C~ a~,m~Sy S SUBDIVISION `t'oN~ r, Pu>^r~E LOT # S
Authorized State Agent: Date: 3~33~N2
1< 56' z~ 1/
D
~ 3G
P
J V Na -oCL---
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:
Proposed Facility: 3Zz-obr-,3 Design Flow (.1949): 36G~
Location of Site: Property Recorded:
Water Supply: )STublic❑ Individual ❑ Well
Evaluation MethoAuger Boring F1 Pit C1 Cut
Type of Wastewater: --El-sewage
❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
O
F
I
.1940
SOIL
MORPHOLOGY
OTHER
L
Landscape Horizon
.1941
PROFILE FACTORS
E
#
Position/
Slope %
Depth .1941
D
Structure/
1941
Consistence
.1942
Soil .1943 .1956
Wetness/
.1944 Profile
Texture
Mineralo
Color D thIIN. Class
Class
oliz
Description
Initial Re
it System Other Factors (.1946):
A
il
S ste
Site Classification (
1948):
va
able S ace .1945)
.
S stem T s
e(s)
"a ~
aC
Evaluated By:
Site LTAR
'
A 5
Others Present: