IPACHTE# Harnett County Department of Public Health
Imurovement Permit 27061
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W %I-1- L-U GP't' ~Zz _
ISSUED TO: le> L ~.yPrC..}. ores SUBDIVISION C, ,o~wP. C~P~Y.s LOT #
NEW' REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5ga".SJ { 3vi ~3~
Proposed Wastewater System Type: ~FAvCilo r+ yE3~
Projected Daily Flow: 36o GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes `K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well 1-10 ~ feet Permit valid for Five years
Permit conditions: - - ❑ No expiration
Authorized State Agent:: Date: ro' 1>:JJ la- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holder is relponsible 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 mit 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, .1957, .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: 't-~o nc--> PROPERTY LOCATION: \-J %w , LyaQ,s ~,p
SUBDIVISION CA's L-'\NN A~45 LOT # aQL
Facility Type: '51'K0New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes >
Type of Wastewater System" '~k'E-Q a ~o N S'y S "~'E-NN (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size t O o V gallons Exact length of each trench SO feet
Pump Tank Size gallons Trenches shall be installed on c ntour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil Cover: (v- IS 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 10FT. 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 speciled is different from the type speciled on the application. / accept the specipcations of this permit
Owner/Legal Repr tative Signature: Date:
This Construction Authorization is subjec ocation if the site 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
Construction Authorization is;oi complianc t r'si.-*-<the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
e4l-ti,s
Date: C'1
on Authorization Expiration Date:
NTE#
Permit # a~ ® G
Harnett County Department of Public Health
Site sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: \41 L.L. 1-y LAS
SUBDIVISION CPao L.) *s P+ Ow<b LOT # -
G.1
Date:
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:, Design Flow (.1949): Property Size:
Location of Site: Property Recorded: 37
Water Supply: ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Methodo-:-Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ,Sewage ❑ Industrial Process ❑ 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
LS
n
NP
1~'
3~s
o- 5)N~
✓ 1'~ J-I
3
6 r-I~
C~ S
Vffil sj5) NC
; o-\ (Z X
.V
FZ !3:5)r~q
Description
Initial
S st
Repair System
Other Factors (.1946):
Site Classification (.1948):5
Available Space(. 1945)
Evaluated By:,
System Type(s)
`'l c
NCa~3
Others Present:
Site LTAR
c "