IPACHTE `I1Q)Z -,A A 2- Harnett County Department of Public Health
Imurovement Permit 26966
A building permit cannot be issued with only an Improvement Permit
PROPERTY
l NOcnPcS b MFS SUBDIVISION CAT
ON LOT # -2Y_
ISSUED T0: ~
NEW)I REPAIR ❑ E1 NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF lCl ~ '
Proposed Wastewater System Type: ` ZO/• E®yCx- @3N 5~T°EM
Projected Daily Flow: L- I$ O GPD
Number of bedrooms: L-1 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 ~0 d feet Permit valid for: Five years
Permit c ❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o er permits. The permit holder i resp Bible 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, .1957, .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: ~k4MF-5 PROPERTY LOCATION: MNQN--:) 7ep
SUBDIVISION ~SNEF0R9 LOT # `Z$
Facility Type: 5FO New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'P5~, No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** a% Isei 11.11 5-Y5`~a4CN (Initial) Wastewater Flow: 4~0 GPD
(See note below, if applicable
°16 Svc,'- NGN (Repair)
Installation Require ments/Conditions Number of trenches 3
Septic Tank Size 1®® gallons Exact length of each trench 50 feet Trench Spacing: c1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: NQ -)inches
Maximum Trench Depth of: tr~,LR -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
Conditions:
inches below pipe
Aggregate Depth: 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: / 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 iudiect to revocation 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 ire' complian it~tte Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: -03 Date: 3
Constru Authorization Expiration Date: _
HTE# S'°-tea` Permit # CGS(-
Z5 ,
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: l
Address: Date Evaluated ~
: 4-), _
Proposed Facility: L-~ Q_C r~rJ r Design Flow (.1949): L-%O is
Location of Site: Property Recorded:
Water Supply: _~~RPublic❑ Individual ❑ Well
Evaluation Method Aoring ❑ 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
S
il
.1944 Profile
Texture Mineralogy Color
o
Sa ro
D th IN. Class
Restr Class
y
~ 5
Horiz <AR
e
J-2 (t
c-Z- V
`FO
I ~l
S
Description
Initial
Re air System Other Factors (.1946):
Available S ace .1945)
S stem
Site Classification (.1948): j
S stein Ty
s)
Evaluated B
Site LTAR
Others Present: