IPAC RHTE# {O°S ~;-0ZQ9
Harnett County Department of Public Health
hDrovement Permit 2 6 2 7 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NC NO j
ISSUED T0: C'~2y tJV~4~ SUBDIVISION GwaW 0-\V-5 LOT # t~3
NEWX REPAIR ❑ Ex SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `7 ~ZQ O 1
Proposed Wastewater System Type: ZW5--k 1 i✓p v c . o v 5 y ~M
Projected Daily Flow: 3CQ GPD
Number of bedrooms: 3 Number of Occupants: Ce max
Basement ❑Yes No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X,, Public ❑ Well Distance from well 1i feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: -1~' )5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the rice of other permits. The permit holde) rible 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 Impr vement 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: 4L, ~Q, ~tJ 0 PROPERTY LOCATION: ~C.aa4
SUBDIVISION Gv,Ety Oars LOT # 53
Facility Type: O C'~~ nL16~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑YesNo
Type of Wastewater System** ~~~1'~ RCpue t s o c f ; C. "'r (Initial) Wastewater flow: 3(0 GPD
(See note below, if applicable
'1~ uC O Sys F Sx\ (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 1OdQ gallons Exact length of each trench `ALi feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. inches
Maximum Trench Depth of 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: ,5 4' , ~ ,>:s> d v 9,Lo --~P.L- ac~t~ 1.55 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 app/icwon. / accept the specilcations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authonzation is subject to revocaua a sit , 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 s compliance the o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 'I ~,A 10
Cons ction Authorization Expiration Date: `1 at 1
HTE# 60 " 5 - ~)SOMa Permit # 'J Qom- -a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: NC, S
ISSUED T0: w SUBDIVISION G .NC Ci ~.v=5 LOT # ~
Authorized State Agent ~S ~~i-~'t E2 Date: ~1~ Z 1~ l C)
r
ueparunenl u1 CIIVIIU11111CIR, rlCdMI, d11U IVdtUldl r\CJUU1Lt:b JI ICCt.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILiSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: Design Flow (.1949): C} t
Location of Site:
Water Supply: Public [ J Individual [ J Well
Evaluation Method: ~d Auger Boring [ ] Pit
Type of Wastewater: 'Sewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring
[ ) Cut
( J Mixed
t
[ J Other
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
SON
Wetness/'
Color
.1943
SOH
Depth (IN.)
.1956
Saps
Class
.1944`
r Restr
Horiz
Profile
Class
& LTAR
C) -)I
G S
eri ~,Js~
P5
v;,4
gY_
q_k
0.3
G s
Description
Initial stem
R air System
Available Space (.1945)
System Type(s)
Site LTAR
~
j
Other Factors (.1946): -
Site Classification (.1948): p
Evaluated By: 1
Others Present: 6,-1