IPACHTE# 1a ~-ao1-l Harnett County Department of Public Health
hDrovement Permit 2 7 0 7 0
A building permit cannot be issued with only an Improvement Permit
\ PROPERTY LOCATION: C-I+PCt E_s~ C.~-l ~t2G~1
ISSUED TO: S-D 2- U2`S Ore Lr~! G SUBDIVISION C4 P2G5S QGtN C C LOT # )iZ.,,
NEW REPAIR ❑ EXPk ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 ` 36 /
Proposed Wastewater System Type: QLS5% fSJV~~ 4> t s"sE*(
Projected Daily flow: 3 O GPD
Number of bedrooms: 3 Number of Occupants: (Q' max
Basement ❑Yes
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community :>G~ublic ❑ Well Distance from well to feet Permit valid for: Five years
Permit conditiotrg- ❑ No expiration
e
Authorized State Agent:: YQG'~NS Date: 7 W SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the other permits. The permit holder is res onsible 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 Improve Permit 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: 62-- -l of C,- (5
c PROPERTY LOCATION:
Gyprz.LSS C->A
SUBDIVISION G,+p
2G~5 Qd ) NI C
LOT # YZL-
Facility Type: S~cO 5b ~C-1 t--DI ~ New ❑ Expansion ❑
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 2~-T~fa Rev G:`(7N ~g
Repair
(Initial) Wastewater Flow:
3CO GPD
(See note below, if applicable I
O
Installation Requirements/Conditions
Septic Tank Size 16 O O gallons
vc.-~~ Z) >-:0s t -rn (Repair)
Number of trenches
Exact length of each trench
eet Trench Spacing:
eet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: 4-7
inches
Maximum Trench Depth of: X a cJ
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:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Repr tatjve Signature: Date:
This Construction Authorization is subject to r if the site 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 i compliance the pro f nd Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH 'li
Authorized State Agent: V Date:
Construction horization Expiration Date:
HTE# 5'DP~20% Permit # ~0-7 0
a nett Count` I)ep-artlnent of iblic Health
Site ketch
PROPERTY LOCATON: C--Ml -s C"m QZ
ISSUED TO: SUBDIVISION C--W~ G. o~ LOT #
Authorized State Agent: ozavf~ icy Date: )QA x'a-
331/
Gs~
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: ~aC1t Design Flow (.1949)-360
Location of Site: Property Recorded:
Water Supply: [~Public❑ Individual ❑ Well
Evaluation Method Auger 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
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
T
s
3
O
s
oaf P
34 33
S13 ,i :7 61
1 5s /
1 V-) F2 a 36
&ail'
5
v P
Description
Initial
stem
System/`
Re air System
Other Factors (.1946):
Site Classification (.1948):f-5
Available Space (.1945)
Evaluated By: (7_
System Type(s)
Others Present: -
Site LTAR