IPACHTE# ~~-5.~`~6b Harnett County Department of Public Health
Improvement Permit 26984
A building permit cannot be issued with only an Improvement ermtt
PROPERTY LOCATION: \4 V-D
ISSUED TO: G SUBDIVISION I-ps s3 BA s LOT #
NEW)< REPAIR ❑ EXP ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '57fD t F. S n y" ~
Proposed Wastewater System Type: 15°x® ~L ucs 10 1't 5-1 aN-N
Projected Daily Flow: Ll`b GPD
Number of bedrooms: L'1 Number of Occupants: max
Basement ❑Yes '?<,No
Pump Required: ❑Yes c-t~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t 0 4 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~'v Date: t-'1 I V~ I ~7- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a of other permits. The permit holder respo 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 Impr ent 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 TO: Sp,y.4y ~0 rreS 1-1---C- PROPERTY LOCATION: \A `~-C-
dr SUBDIVISION <1-+4z-KN ' P;NMNt5 LOT #
Facility Type: 'K 2'► ' )4 New ❑ Expansion ❑ Repair
Basement? ❑ Yes --ZR\ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** N c! 'J j 5 E (Initial) Wastewater Flow: GPD
(See note below, if applicable o
~o ~puL^C t ~N 57'5SaM (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size LfoQ) 0 gallons Exact length of each trench IZ..-'A 0 feet Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: r' inches
Maximum Trench Depth of: 1~~'vb 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 LOFT. 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 specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is snbieet-m,-u cation if the site olan. Dlat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is,ubjLt to complianc%&,th t vision he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 9
Constr ' Authorization Expiration Date:
HTE# V~4- 5-a.'B G-- Permit # Q-COM
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Department of Environment, Health and Natural Resources Sheet: .
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: I'► G 6-W (V8"'5 Design Flow (.1949): LWOS~-- Property Size:
Location of Site: Property Recorded:
Water Supply: AB ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method ;Aug ing ❑ Pit ❑ Cut
Type of Wastewater: _P-Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SO
I
1940
111 %J1
OTHER
L
Landscape
Horizon
.1941
PROFILE FACTO
RS
E
Position/
Depth
.1941
.1941
.1942
Soil
1943
#
Slope %
(In.)
Structure/
Consistence
Wetness/
.
Soil
Sapro
:j
file
Texture
Mineralo
Color
D th IN. I
T
*ss
TAR
LS
Sl
0 -CAL)
q C'
".)~i
2 0 i;io
..s~ ~
~ mss) ~
~ 5
NN
Description Initial Re it System Other Factors (.1946):
S st Site Classification (.1948): P5
Available S ace .1945) Evaluated By:U~
S stein T e(s)~ Others Present:
Site LTAR e~ E--