IPACHTE# i2.- 5 Harnett County Department of Public Health
Improvement Permit 26987
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: G)mcs'5 C~~vCtG~~ ~
ISSUED T0: ON ~RV G SUBDIVISION Cy92ES5 Qo i „rN E. LOT # f ~o
NEWR REPAIR ~j E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `~6'4 `-31- ' I,
Proposed Wastewater System Tyype: ~°/b R[s~v>ON 5~'S ~Esr
Projected Daily Flow: `lr4 4 GPD
Number of bedrooms: LNumber of Occupants: 'oo max
Basement ❑Yes No
Pump Required: ❑Yes '~<No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t0 O feet Permit valid for: ,Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~-C=`c'+5 Date: 'A I \ `N~ ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit holder is 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 Improvem 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: \1mrCcRV 1 r14 PROPERTY LOCATION: C.ie(LE.s5 C~lvcz.'-
SUBDIVISION C-NeQF S5 Pai ► E LOT #
Facility Type: 5S~$ 'ice l~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~K No Basement Fixtures? ❑ Yes No
Type of Wastewater System** a•5°r'o RC-ovcrClct,~ ~`STE.S~ (Initial) Wastewater Flow: t}B GPD
(See note below, if applicable
2.S°lo ?NLOU54 ~yrs SYS~G~ (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size gallons Exact length of each trench ® feet Trench Spacing: c) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: -~;-inches
Maximum Trench Depth of: 1'~tl 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 (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: /understand the ,y s stem
type speciped is different from the type speciFed on the application. / accept the speciflcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization t--st ' revocation if the sa n, 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 i K4c L to complia~ftee~iti visiw _ aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Q(:- --\S Date:
Authorization Expiration Date: N e1 l"1
HTE# f- Permit #
Harnett County Department of lliblic Health
Site Sketch
PROPERTY LOCATON: C--JKF-55 C--,!~u2Gti~
ISSUED T0: o SUBDIVISION -`~C'tLCs`7 LOT #
Authorized State Agent: ~l5 t9zavESLSda.~.St~oS?F Date: Li
1TI-i
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOEUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L~ C--(, ccvJ F\ Design Flow (.1949): lil 0
Location of Site: Property Recorded:
Water Supply: 141rublic ❑ Individual ❑ Well
Evaluation Method: f Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
.1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
.1942
E
Position/
Depth .1941
.1941
Soil
.1943
.1956
.1944
Profile
#
Slope %
(In.) Structure/
Consistence
Wetness/
Soil
Sapro
Restr
Clam
Texture
Minermlo
Cola
Depth. IN.
Class
Horiz
dt LTAR
G~ JS L
~2 5,5)7:5p
)O~C2 1 k~ ~ ~`~k\
~
-
~16
Description Initial Repair System fOther actors (.1946):
s ficatio n 1948):
Available 3 ace .1945 Evaluated Byes
ShSe stem LTAR pTe(m) 2S`", 2 C 3 thers Present: