IPACHTE# 4O.5 a~~a.3 Harnett County Department of Public Health
Improvement Permit 2 6 2 2 9
A building permit cannot be issued with only an Improvement Permit
.p PROPERTY LOCATION: L-P,6P<"S F_2 q-D
ISSUED T0: EP~aE+v~o Dut ~ SUBDIVISION VJ DAL0V-7 Gctov G LOT #
NEW REPAIR ❑ EXPAJION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: O 60 x 60~
Proposed Wastewater System Type: a5"lo R60UVCSUIJ SYSTEM
Projected Daily Flow: GPD
Number of bedrooms: t'1 Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes 'KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \O O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: '1 °I 110 SEE ATTACHED SITE SKETCH
T
The issuance of this permit by the Health Department in no way guarantees the issuance r permits. The permit holde 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 rmit 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
ISSUED TO: GTC--eN~:`tsOt., L-~06~LS PROPERTY LOCATION: --Asap ~D
Facility Type: SFO ~~d~ rJ~ SUBDIVISION Sa rN \J-\ c v : LOT #
~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes .39, No Basement Fixtures? ❑ Yes 'K No
Type of Wastewater System" `a6 "'A q~,EZ0crC.d N S y s-t &r-f\ (Initial) Wastewater Flow: LRQ GPD
(See note below, if applicable
p\EOv c.S\oN SYS Em(Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size o U y gallons
Exact length of each trench 3
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. S Q%
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
feet Trench Spacing: cl Feet on Center
Soil Cover inches
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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
*"If applicable: I understand the system type specified it different from the type fpeciTed on the application. /accept the rpeciBcations of thi permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to myDption 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 subject to compliancwt` on, o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Z.
Authorized State Agent: Q.C-r5 Date:
Authorization Expiration Date:
HTE# ~0-5 Permit # 2~-C3aC~
Itt"l ett ('ount.1T Department of M-relic l1ealtli
Site ISIcetch
PROPERTY LOCATON:gP.~ fem.
ISSUED T0: - I~N G -N:5 0,A SUBDIVISION A~ r y C ay LOT # la.
Authorized State Agent: - ~Otw~'Ct d0l~F Date: U
ac
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOEUSITE EVALUA'T'ION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: c;c~
Location of Site: Property R
Water Supply: Public El
Evaluation Method: Auger Boring
Type of Wastewater: Sewage ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Well ❑ Spring ❑ Other
❑ Cut
❑ Mixed
P
R
O
F
1
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.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
1
~-5
r ,5 Ie
V ~
`/Crt- 3~~•.,~
~ as
k'-~
P'Z, s ls~
<2p,~
u ~
3
pate
G S
v~-~,, a~ I
a('-3p
50\< '5C~-
F0
t- --,)0,
P
Description
Initial
S stern
Repair System
Other Factors (.1946):
1948): e)
Site Classification (
Available Space .1943
.
Evaluated B
S stem Type( s
y ~
. d
Oth
P
nt
Site LTAR
, r._...
ers
rese
.
Date Evaluated: S t f~
Design Flow (.1940:
LS ~
ecoMUM
Individual ❑
❑ Pit
Industrial Process
i i Ne