IPACHTE# S~,"5 Harnett County Department of Public Health
Improvement Permit 26999
A building permit cannot be issued with only aa_f 1provement Permit
PROPERTY LOCATION: GG'.s ~2-D
ISSUED TO: ti< L.. L--u arm SUBDIVISION ash ~Ct>>r i LOT # '
NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SC0t{
Proposed Wastewater System T pe:~f a }~~3 c'i.~ tf f S /s ; Gam`
Projected Daily Flow: GPD
Number of bedrooms: p Number of Occupants: max
Basement ❑Yeslo
Pump Required: ❑Yes ❑ No `RMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -tkPublic ❑ Well Distance from well )i a feet
Permit conditionst-,_
Permit valid for:
Five years
❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees Issuance
site is subject to revocation if the site plan, plat, or the intended use changes. The th;i
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
NS Date: 5' I *y I vz~- SEE ATTACHED SITE SKETCH
of other permits. The permit holler is re ponsible for checking with appropriate governing bodies in meeting their requirements. This
vgment Permit 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, .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: - ~ Cwt Lt3 CP,5 PROPERTY LOCATION t: S NC>G-N
SUBDIVISION ~'O a1~ Q Q LOT #
Facility Type: x~~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? El Yes )xNo
Type of Wastewater System** --S~/14 9-C~uc.~`~ 0 J J5 C rr, (Initial) Wastewater Flow: GPD
(See note below, if applicable _ >
~SOfts 0t:1 (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size ~d gallons Exact length of each trench 150 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G 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 sperifled is different from the type speciTed on the application, /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to ion if the site p 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 is b to compliance`s t ions o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constr on Authorization Expiration Date:
HTE# 1-
Permit # IQ 6 °
Harnett County e Jartment of i b ie Health
Site Sketch
i
~3~7
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:p Cfi)Lo 0P-N Design Flow(. 1949): 2( O
Location of Site: Property Recorded: L
Water Supply: Public❑ Individual ❑ Well
Evaluation MethoAug Boring ❑ 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
Horizon
.1941
PROFILE FACTORS
E
#
Position)
Slope %
Depth
(In.)
.1941
Structure/
.1941
Consistence
.1942
Soil .1943 .1956
Wetness/
S
il
Profile .1944
t, 5
Texture
Mineralo
o
Sapro
Color D th IN. Class
Restr estr Class
Horiz & LTAR
}
°to
~i
V
~Y"n NS)tj
S
Q
G -lL
G ,
Description
Initial Repair System
Other Factors (.1946):
S ste
Site Classification (.1948):
Available S ace .1945)
Evaluated B
S stem T e(s)
Site LTAR
~
3
Others Present: : J3 n