IPACHTE#I Q-5- Aso Harnett County Department of Public Health
hDrovement Permit 26201
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Po~FSP t ez_p,~ L -
ISSUED TO: Q rL~ - C-0 ~s SUBDIVISION CHI t~ rs [->,Sd s.1 LOT # 9_
NEWX REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1; ~1 x~E
Proposed Wastewater System Type: ct~Cf Nom.
Projected Daily flow: C7 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes '-;<No
Pump Required-16es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well ICr" feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu a of other permits. The permit holde is respo Bible 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 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, .1951, .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: `ZYFY~ ~sz'CE CCN PROPERTY LOCATION: N T~ nFao 5v-\ ~2P'NL-
x SUBDIVISION CP.~ CTS F~ PsC> ~1 LOT # 55_
Facility Type: (60 New El Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Q y me S v C✓.C rs.~ N kt- (Initial) Wastewater Flow: GPD
(See note below, if applicable Y~
P\J me o C`c a fx-4 N cs (,4 ?\"Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size i o -2- 0 gallons Exact length of each trench I SCE feet Trench Spacing: Feet on Center
Pump Tank Size C CIO gallons Trenches shall be installed on contour at a Soil Cover. 1 a-> inches
Maximum Trench Depth of: `3C> 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:
inches below pipe
inches above pipe
I QL inches total
WATER LINES (IN(LUDING 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 it different from the type specified on the application. / accept the specifboonr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca he site plan„ p`at, 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 subjec k,2mpliance with dt~ elf and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: I Date: 'I I 1
Authorization Expiration Date:
HTE# IC)-6 5Q) Permit # a(,~ 1
Barnett County Depatlment of P(iblic Health
S'ite ~ketcll
PROPERTY LO(ATON: P0 sfl5,2os~ ft-A\L-
ISSUED TO: c,E SUBDIVISION Gn.2a1 sG ws LOT # C
Authorized State Agent: L)v 6sz -To Date: ~1 11`j I l ~
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Department of Enviromnent, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOEZJSTTB ]EVALUATION
For ON-SITB WASTMATER SYSTIE
Owner. Applicant: q
Address Date Evaluatal:i
Proposed Facility: `3 qkm-or Design Flow (.1949}; --Z.Ae X
Location of Sitx Property Recorded:
Watet Suppiji Public ❑ Individual ❑ Well
Evduadon Method: Auger Boring ❑ Pit ❑
Type of wastewater: -TEL Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot M:
File N:
Code:
Property Size:
❑ Spring ❑ Other
cut
mixed
R
0
F
1
1940
SOIL MORPHOLOGY
.1941
OTHER
PROFMUU FA C TOR3
L
B
9
Lambe"
Posidew
Slope 4ti
Horizon
D"A
(in.)
1941 .1941
Sttuch" Cofwdem
1
Texh" Mtnaraio
,1943
Boil
Wetn"d
Color
.1443
soil
NVA 1N,
.1916
Sapre
Claw
.1944
Re*
Hons.
Pty
Ct M
A LTAR
s
r
1,5
a
Q -46
C: . 'v
E7va Pdora W W Repair Syrtaaf Other Factors (.1446)
46
ble s a .1941 Site Classification (.19405
System a Evaluated By p 1
' CIO
Others Present:
Bhe LIAR
i5
t'~~ -t o Imo ~~=~a
aa- Do p