IPAC RRHTE# 10'5 a~`~o1R Harnett County Department of Public Health
Improvement Permit 26285
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: F}~vO~c1(77A-~2A~1
ISSUED TO: W A C 6R t~p.Q-.z rnEj SUBDIVISION C o~cic~s s a. `Jo H~ LOT # 1
NEWA REPAIR ❑ XPANSION ❑ , Site Improvements required prior to Construction Authorization Issuance:
x50
Type of Structure: 'S~a ~M 46
Proposed Wastewater System Type: a's°)o Q Ec~ctc SCE J~ c~s~
Projected Daily Flow 3ro GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes )!l No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 O O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: `d t \ No SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan then permits. The permit holder is re 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 Improvemen 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 T0: '\AK ~~z.~- ~OcrEs PROPERTY LOCATION: 90 Nfl6cL0SA la_ANy
SUBDIVISION C ct(LO L-\'4a S Sa NS LOT # )i3
Facility Type: S~0 <+~~x~ ~tDSO New ❑ Expansion ❑ Repair
Basement? ❑ Yes N No Basement Fixtures? ❑ Yes No
Type of Wastewater System** r-IS 0 v CCU 0 N (Initial) Wastewater flow: --V- a GPD
(See note below, if applicable
Wla ~ISvS 10 ti 6sF'(1 (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 'i CC ~ gallons Exact length of each trench aa5 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. (o inches
Maximum Trench Depth of: )i a, 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: M t N l rn om oq~r Q, OF G~~Ea S.1C Eo C~ OYGczr fl~a~N F~~z
inches total
, QFS~cry"f 'ALFA d~ t1090S1P.s-, Vr"m QPL~~,nrCS ~Jc~~L Sc_~En f~T
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.
**If applicable: l understand the rystem type specified is dih`erent from the type speciled on the application. / accept the specifications of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revoano he site pla lak 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 tkuk~t to compha~th dla~ovi " oft ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: - Date: 10
Cons ion Authorization Expiration Date: -
HTE # Permit # a 6a4~
Harnett County Depar(ment of Public Health
Site Sketch
PROPERTY LO(ATON: Po,.tiMS105 L-
ISSUED TO: ~'~~sac,, ocrGs SUBDIVISION CpQz L-) to `-~ctnsoNS LOT # 1
Authorized State Agent: Date: 1 h o
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Department of Environment, Health and Natural Resoarcea
Division of Environmental Health
On-Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Addnt= Date Evaluated:
Proposed Facility:4kk~-'Q De sip Flow (.1949): ~o
Lmdon of site: Fraperiy Recorded:
Want Supply; Pane ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Plt ❑
Type of Wastewater: ge ❑ Unstriai Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
0
F
1
L
1940
OIL MORPHOLOGY
.1941
THER
PROFtLB FACTOR
S
N
Lindomp
Positiool
310p" %
s Horizon
Depth
00
a-►a
.1941
8trneerw
Texwn
G S
.1941
Con,ideoq
Minicab
.~,e
1941
soil .143 .1956
webmw Soil Saprv
Color DbA im Clan
.1944
Redr
Hain
frvtll•
Cold
A LTAX
,x
G 3L
5
v~2 ~swe
3
30 3~
41
Lmciipdon Initial Repair 3y tam Other Fwtors (.1946X
9 .'*m Site C1auiScadon (.1948X
Awdaile s 194J
S sum , Enhmted B):
Sit, LIAR Others Prexr►t
C-C ~'b 10.ty
s S to ~oaooM PQ oP 6~~, L