IPACHTE# 1a.-rj =a`d!a®t Harnett County Department of Public Health
Improvement Permit 26982
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: \ N e Q.0
ISSUED TO: St>,v-V,) V\tr11e> 1--1-C- SUBDIVISION )C*."-,~ V Lr-,5 LOT # 10
NEW X REPAIR 44PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S V 9 `51"OkV
Proposed Wastewater System Type: Rwyc;:) UN 5ygc~'c~
Projected Daily Flow: G ® 0 GPD
Number of bedrooms: S Number of Occupants: b® max
Basement ❑Yes 'KNo
Pump Required: ❑Yes KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ~6 tJ feet Permit valid for: Five years
Permit conditions: - ❑ o expiration
Authorized State Agent:: Date: \ a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit holder 's responsible 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 Improveme 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: 55>04 ~~►Orn6s LL-C- PROPERTY LOCATION:
SUBDIVISION X.t-+t-t=e•w FA2th5 LOT #
Facility Type: SCE X New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** Z.~/a REoy Gi > (h. t Sys > F_-n (Initial) Wastewater Flow: CO Ad GPD
(See note below, if applicable
QQty C- - ttlc.~ (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size \ S-0 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ►Z__ inches
Maximum Trench Depth of: Q--aI4 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:
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
N UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: I 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 iss sure cation if the
a 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
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Construction AuthorizatiDq~ sect to comps with ¢ isisi he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: L
Cons tion Authorization Expiration Date:
HTE# Nom= 5'`A(dO\ Permit #
Ct 0
E-: Mr.-\ P, CGS
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: Jln)'vZk
Proposed Facility: ,SG~s~ZM" 6 Design Flow (.194 r_0 d tj~-
Location of Site: Property Recorded:
Water Supply: ~,Public❑ Individual ❑ Well
Evaluation Method;~_Auger 130 'ng ❑ 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
.1941 PROFILE FACTORS
Horizon
E
#
Position/
Slope %
.1942
Depth .1941 .1941 Soil .1943
/ 1956
(In.) Structure/ Consistence Wetn
Profile .1944
ess
Soil Sapro
Texture Mineralo Color D th IN. Class
Restr estr Class
Horiz & LTAR
.~=`'fid G 5V~ct rvS~Q
G ab C, S
Description
Initial Re air System Other Factors (.1946):
S ste Site Classification (.1948): 4-)5
Availabl
e S ace .1945)
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Evaluated By' Ci ~
System T
e(s)
~Aa Others Present:
Site LTAR