IPACHTE#\'Q 5- Q~$I eO Harnett County Department of Public Health
Imurovement Permit 26992
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C -q ,QQg6-. CG-) t7Q.C,r~
ISSUED TO: Q 9... AOQ."toty HU SUBDIVISION C--),?QZ~ -?oI T-5E LOT #
NEW- REPAIR ❑ EXPA ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'F 0 ~
`~yesfrr~
Proposed Wastewater System Type: c16C,/c, ~kZZAJC;'-1d,4
Projected Daily Flow: ~alo~ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes X'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 feet Permit valid for: Five years
Permit condifww,:---...-__ ❑ No expiration
Authorized State Agent:: v~• ® ~~'~5 Date: 5 131 h- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance 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 Improvement ermit 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 i
nto this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: Q e- S \c~nor4 PROPERTY LOCATION: C..--, NZr--s:5 Cv)ugxA
SUBDIVISION C-Y1PQL- 55
P0) -s5C LOT # 3
D
-3
Facility Type: -
6
KNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Baseme
nt Fixtures? ❑ Yes XNo
Type of Wastewater System** 2L' /e,
(Initial) Wastewater Flow: ~ GPD
(See note below, if applicable
9Uc0g
r --~~fe yG-K l
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Installation Requirements/Conditions
Number of trenches
Septic Tank Size gallons
Exact length of each trench 70 feet
Trench Spacing: ~ Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: 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:
inches below pipe
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 speciped is different from the type specified on the app/icatiom / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization ,s nbj evocation if the Ian, 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 is Wbi4a to complia h t sions Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constru ' Authorization Expiration Date:
HTE# Permit #
wy
H ~ 6H~2GE~ Pay ~ i
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: 5~ a
Proposed Facility: 3 C3tz0U~ Design Flow(. 1949): Location of Site: Property Recorded:
Water Supply:Public❑ Individual F1 Well
Evaluation Method- uger Boring ❑ Pit ❑ Cut
Type of Wastewater: "-a-sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
a -lA
G s
n s.,s~'
(a`l~
55<-4c.
10'-) 2 -7~ ttd
.
° cl
l:~
V Y(2
a-3~'
5~-
rcr'pz
`w1 ~ 4
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space (.1945)
Evaluated By: O-\
System T e(s)
69 S" %v
D'Y 4- u la\
Others Present: o
Site LTAR
3 j
n