IPAC RHTE#ia- a9 69 69- Harnett County Department of Public Health
Imarovement Permit 2 7 0 5 8
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: CY Pc.s~ C,~ v(ZOP1
ISSUED TO: c~ OSG'S Z) SUBDIVISION Q -j PcLESS 01 Iff- LOT # 11 _
NEW REPAIR E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
l
Type of Structure:
Proposed Wastewater System Type:`'/ o vG'C 0 N
Projected Daily Flow: "rjb' O GPD
Number of bedrooms: L., Number of Occupants: max
Basement ❑Yes eNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Suppl Community X Public ❑ Well Distance from well 10 0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~\'i~•
The issuance of this permit by the Health Department in no way guarantees the issuance o he
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date:
SEE ATTACHED SITE SKETCH
The permit holdef is rdponsible for checking with appropriate governing bodies in meeting their requirements. This
all 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: 0 9- 'V)ivwz~d N N "Z C
Facility Type: SFO J.1' XNew
Basement? ❑ Yes ~!k No Basuirt Fixtures? ❑ Yes
Type of Wastewater System** /
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size tCd o Id gallons
Pump Tank Size gallons
PROPERTY LOCATION: C_y99JGS3 C'\;w y - A V
SUBDIVISION (1. 95MS5 'F a~ j7 E LOT # _
❑ Expansion ❑ Repair
'X No---
~.C.ov U ct N S`)S~ G~ (Repair)
(Repair)
Number of trenches S
Exact length of each trench 5 C-') feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: l% -~2-Y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
_ (Initial) Wastewater Flow: "M Q) GPD
Trench Spacing: Feet on Center
Soil Cover: ro inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
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 specifications of this permit.
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to revoc ' the site plan, t, 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 suftjecl_W compliance wit n pr of the s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: --Z~~ S Date: 7 )a,
14
Constru n Authorization Expiration Date: c. 7
HTE# Permit # ~0OS~
Harnett County Department of ealt
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON:-yP~~S:s C-~y2G`e~
_ SUBDIVISION Q-)e9U5:). P o n-SE LOT #
5 (oL1vErz. `TOLy's Date: I l c~
3L}p
'2 0 ,
dL_tJE L`)PC?£Ss
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: u, (bGW~Ccwm Design Flow (.1949): (,i~ g
Location of Site: Property Recorded:
Water Supply: ~Public❑ Individual ❑ Well
Evaluation Method-~ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 'j--t 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
((n,
.1941
Structure/
.1941
Consistence
.1942
Soil .1943 .1956
Wetness/
1944 Profile
Texture
Mineralo
Soil
Sapro lass
Color D th IN. C
Restr Class
i 5
Horiz & LTAR
d•_1~UU
st
PS
yl ~
#
T
Nr-n
V 1
\
v
L1a
SGL
55) ~a~
P~
15C L
Description
Initial
Repair System
Other Factors (.1946):
Available Space .1945)
S s em
Site Classification (.1948):
System T
s)
Evaluated By: cl<
Site LTAR
i,`,.%
) % I
Others Present: