IPACHTE# 1a: 5-Qg~ L`Ct~ Harnett County Department of Public Health
Improvement Permit 2 7 0 8 $
A building permit cannot be issued with only an Improvemen Permit
PROPERTY LOCATION: 6a .45.s t.~ Prfl
ISSUED TO: --~rcrcG~}1 CV MTYN VIA ~ SUBDIVISION LOT # 5
NEW REPAIR ❑ € PANSION ❑
Type of Structure: 5P O (5"b'x ate'
Proposed Wastewater System Type: Q-S°la 4~EsaV C IwA .1 S"y3 ~C.rh
Projected Daily Flow: 4-410 GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes XNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: `-*-Z--- Date: 11'd11'l SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is Jan ther permits. 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 Improve m ermit 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, .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. p
ISSUED T0: ~.w"c~tcyE'Cl1 ~irntri~ai;5 PROPERTY LOCATION: tv 'S ~2GwN ~ Z
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes 'K No
Type of Wastewater System** Q.C"la Q-Muut)o N (Initial) Wastewater Flow: 4~4 GPD
(See note below, if applicable
a.67°1& you CT NO N ---/S'e l~M (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t m O0 gallons Exact length of each trench "t 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1~-~SO inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: a1 Feet on Center
Soil Cover: C7^ 1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 speciFcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject -I ation i 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 subjgct to can pknnce lwZis' of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ` '9:" Date: 1-I,
struction Authorization Expiration Date: S f `1
HTE#
Permit # QL
Harnett Co-tnlty Department of Public Health
Site shetch
M,
4 C .10
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: tj G EC3QS~(1 m Design Flow(. 1949):14`& U c~~
Location of Site: Property Recorded:
Water Supply: -~:ffPublic❑ Individual ❑ Well
Evaluation Method: Aug r Bormg ❑ Pit ❑ Cut
Type of Wastewater: XSewage ❑ 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
{
Z3la
59 Y_ SC I_.
Fn S5)Nf
~ ~4 !9-
i~
S X S (Z
F-L 'S~N?
LC
Description
Initial
S ste
R pair System
Other Factors (.1946):
Site Classification (.1948):
Available S ace (.1945)
Evaluated By:
System T e(s)
1
Others Present:
Site LTAR
~7kS
d
3 ~No tL ~1 - IC7