IPACHTE t 3;~~-a~a~}s Harnett County Department of Public Health
I Drovement Permit 26969
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NDS
ISSUED TO: Gam;) (Z00)0:50 sJ "Otreg SUBDIVISION ~~eE+v C~a.rt,S LOT # L*Ci-
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
70 Type of Structure: 5 ( X11 ~
Proposed Wastewater System Type: y mgrT v ~•~o Ve: No 0
Projected Daily Flow: ~GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ; No
Pump Required.,Z51,Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '~4 Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditioner - ❑ No expiration
Authorized State Agent:: 1~-"` -lam
The issuance of this permit by the Health Department in no way guarantees the is loot Cher
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvemen
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 31 Z, CI 1`,-- SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
<t shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: (:;Aq;-) Q-NN5ow )r 0 v,E5
PROPERTY LOCATION: NI)Ca1~.,5
SUBDIVISION 0 tu.5 LOT #
Facility Type: S c x~-1(s 1 New ❑ Expansion ❑ Repair
41\
Basement? ❑ Yes ~5< No Basement Fixtures? ❑ Yes XNo
°
Q
S
Type of Wastewater System**
vP
> •.S
~o c®LG~ t p t~
ys C--
(Initial) Wastewater flow: 340 GPD
(See note below, if applicable _
N f' P
_
14 ~S~'~o GO
eG
I
V
, \ G ~
(Repair)
Installation Requirements/Conditions
Number of trenches !
~
Septic Tank Size 10 t, ca gallons
Exact length of each trench
Q- X5 feet
Trench Spacing:
Feet on Center
Pump Tank Size b'~J gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of.
\2l 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
MATER LINES (INCLUDING IRRIGATION) MUST RE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /under fond the system type specified is different from the type specified on the app/ication. /accept the specification of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to on if a site p a , lat, 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 su ~.pliance wi he of t s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: y Date:
Con c ' Authorization Expiration Date:
HTE# Permit # Z~- 6'1C 9
r
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: 3 G~-MO U n Design Flow (.1949): 3 bC3
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method: El Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
I . Q
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
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
Profile
Class
& LTAR
1'a-~d\\
541 s LZ
t~+22 ss~ ~
~ C1°}2 i ~~,~„~h
U ~
zzu
kv~
Description
Initial
S ste -
epair System
Other Factors (.1946):
Site Classification (.1948):4
Available Space (.1945)
Evaluated Byl{
System T e(s)
V r,-Q
fi
Others Present: -
Site LTAR
NA
I Lk