IPACHTE# la75-21°)a0 G Harnett County Department of Public Health
Improvement Permit 2 7 0 6 9
A building permit cannot be issued with only an Improvement ermtt
PROPERTY LOCATION: MNLY 5
ISSUED TO: CV MB~t1,LC~vviD )r"IUMC-5 ) Nc' SUBDIVISION RmNtS''OSLS> LOT # 3c~.
NEV REPAIR ❑ E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F~ W `1'
Proposed Wastewater System T pe: RZPVCrC\O14 Sy5'sEa+1
Projected Daily Flow: 4YO GPD _
Number of bedrooms: y Number of Occupants: Q max
Basement ❑Yes ,XNo
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )K Public ❑ Well Distance from well 1®0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: S Date: C\~'1\ n SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o rpermits. 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 Pelmit 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
Reauired 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: C.v t)2sES22--VNNf) ~0 mE.S l~rC. PROPERTY LOCATION: MKt<.5 9-0
SUBDIVISION AS~ErFOC~ LOT # '43,,
Facility Type: New ❑ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? ❑Yes X No
Type of Wastewater System** 21 °/c Q-f-0 U<^'A a r 5 ys' Ern (Initial) Wastewater Flow: GPD
(See note below, if applicable
')-T'/a (?-ES ) C. "o xJ (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size \ c o 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: t'~%' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: C 1 Feet on Center
Soil Cover: 0 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. l accept the specipcations of this permit.
Owner/Legal Representative-nature: Date:
This Construction Authorization is subject to revoc. he ite plan, pla 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 subjFTt~pliance with rove the La d Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: G
Constructio horization Expiration Date: _
HTE# Off-"
Permit # 'ZC)0,6`
Harnett County Department of llblic ealt b
Site sketch
ISSUED TO:
Authorized State Agent:
Date:
1(35
PROPERTY LOCATON: `f)wL-,c.s SUBDIVISION IN-5 6&P LOT #
Al "Brow
w4%Nl
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: Ly ~3CJ2C1~s~~ Design Flow (.1949): ~P
Location of Site: Property Recorded:
Water Supply: ha Public[] Individual ❑ Well
Evaluation Method:MAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: EI-Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
1940
Landscape
Position/
Slope %
orizon
Depth
(In.)
OIL MORPHOLOGY OTHER
.1941 PROFILE FACTORS -
.1942
.1941 .1941 Soil .1943 .1956 .1944 Profile
Structure/ Consistence Wetness/ Soil Sapro Restr Class
Texture Mineralogy Color Depth (IN.) Class Horiz & LTAR
;'LIA 1
l
k
)L 5GL
'~~5~
s S
Js
Description
Initial
S sterp
pair System
Other Factors (.1946):
Site Classification (.1948):
S
Available S ace (.1945)
Evaluated B)
System T e(s)
Q_S" `.Z
R_0
Others Present: f
Site LTAR
`j
,