IPACHTE# i~-5-j - a Harnett County Department of Public Health
Improvement Permit 26965
A building permit cannot be issued with only an Improvement Per t
PROPERTY LOCATION: R~~fC ac~
ISSUED TO: SUBDIVISION
LOT #
NEW REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M.cN-x ~'~O G '~<b^"S~,'
Proposed Wastewater System Type: P~G~v C-~~ n p.1 7 s r„~
Projected Daily Flow: C- ® 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: El Community Public El Well Distance from well la 0 feet Permit valid for: five years
Permit conditions: ❑ No expiration
Authorized State Agent:: -~a5 Date: Va- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of o rmits. The permit hold r is res onsible 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 T0: PROPERTY LOCATION: ~..caaI&I-A C..'~-
SUBDIVISION LOT #
Facility Type: fl+~r 'TA t) MC, New El Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? E] Yes XNo
Type of Wastewater System** '5~1 a ~CSJv C,~-\ or.1 (Initial) Wastewater Flow: 3CO GPD
(See note below, if applicable
~;)5 ® A,
Installation Re uirements/Conditions
Septic Tank Size 1 d Q) C) gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs. _
Conditions:
Ovc,v\%-t~ (Repair)
Number of trenches
Exact length of each trench c) feet
Trenches shall be installed on contour at a
Maximum Trench Depth of, NQ a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: 'Z'1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specifled on the application. / accept the specifications of this permit.
Owner/Legal Repres ature: Date:
This Construction Authorization is subjec to revo( no ' he 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 comp with o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 31) ~ 1Y),
Const'& n Authorization Expiration Date: ' 3
HTE## Permit # ~5
`751"
~-~F
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: 'S QCrxZC~a ~ Design Flow (.1949): '34 0;~
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho ing E] Pit F1 Cut
Type of Wastewater: Iuer Bo Sewage ❑ Industrial Process
Sheet:
Property' ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
7
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
i
Profile
Class
& LTAR
LS
W-33
Sy- -5r-'j-
1.4 0
r
55<
r
Description
Initial
System
pair System
Other Factors ( 1946)-
Site Classification (.1948): P
Available Space (.1945)
Evaluated By:''fl~
System T e(s)
S v
Others Present: -
Site LTAR