IPACHTE# Harnett County Department of Public Health
26967
I Drovement Permit
A building permit cannot be issued with only an Improvement Permit
p 1l PROPERTY LOCATION: M PwC2'is V L)
ISSUED T0: Q"+aS+E - a n t"t \C) r"f_5 SUBDIVISION N 5\ FcScrsj LOT # 8 9
NEWX REPAIR ❑ JPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:s l;: 5 04 xL:N
Proposed Wastewater System Type: ZS°!o ~CK.'ssbgJ
Projected Daily Flow: ® GPD
Number of bedrooms: ~N_ 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 XPublic ❑ Well Distance from well 1 oG feet Permit valid for: Five years
Permit conditions: ❑ o expiration
Authorized State Agent:: ~ '`sue Q~a~S Date:
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan her permits. The permit holder is espons le 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 Improvemen ermit shall not be affected by a change in ow
nership 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 reference
s into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: ~•c,sL`, ~»os~n4~ ODES PROPERTY LOCATION: In
Y L S QZ
SUBDIVISION ~
W p LOT #
Facility Type: S FP New ❑ Expansion ❑ Repair
Basement? ❑ Yes > No Basement Fixtures? ❑ Yes, No
Type of Wastewater System** C~1J S7c5 ,`_WN
(Initial) Wastewater Flow: ~49 GPD
(See note below, if applicable)
p
`:a~~'f e *DvG~ \d►J (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10 Q*) ® gallons Exact length of each trench 5 0 feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: \ Z.; "19 inches
Maximum Trench Depth of: a~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 E 10FT. 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 application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject vocation 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, t vi o` the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: -~+5 Date: 3
Cons ion Authorization Expiration Date:
HTE# Permit # ~ 94-
(arrlett County De pt-1r1.111elrt of lb icy Health
Site hetcah
PROPERTY LOCATON: '9Y1t IRD
ISSUED T0-.
Authorized State Agent:
- SUBDIVISION 3Ns'y\CQZ> LOT #
~s(0L1-4ca--TO)-yzbti)Date: s ti( ~
105
j
Q
O
170
~-J`I NnJ GAsc. vq,
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: 1--jE~ru>~, c~ Design Flow (.1949): C~
Location of Site: Property Recorded:
Water Supply: aPublic❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
-
O
F
I
1940
SOIL MORPHOLOGY
OTHER
L
Landscape
Horizon
.1941 PROFILE FACTORS
E
Position/
Depth
.1942
.1941 .1941 Soil
#
Slope %
(In.)
Structure/ Consistence
Wetness/
1943 .1956
Soil
.1944 Profile
Texture Mineralo Color
Sapro
D th IN. Class
Restr Class
H
i
or
z & LTAR
Description
Initial
Re air System Other Factors (.1946):
Available S ace .1945)
S stem
`s
Site Classification (.1948):
S stein T
S)
Evaluated By:
Site LTAR
Others Present: