IPACHTE# I s~a~1 Harnett County Department of Public Health
Improvement Permit 26383
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Z'~SSF
ISSUED T0: ~`l tic,,>car^t_ ~D O¢ rc. SUBDIVISION niN%,) -Z LOT #
NEVI, REPAIR ❑ EKPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: "57C) Proposed Wastewater System Type: Go tvy dr.s : LO
>v sit
Projected Daily Flow: >Q GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community ' Public El Well Distance from well lC)d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ti\ '>15 Date: 10 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit holder is res nsible 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 Improveme 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: V\ocS~ PROPERTY LOCATION: ~Css~
SUBDIVISION 'I'r1 1
5~'
Q
'
L
0
5 C.~ og< LOT # 3
Q
_X
Facility Type:
'S
-l1
New ❑ Expansion ❑ Repair
Basement? ❑ Yes "~K No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** Cd S N sN~ ~oS~rD.G
(Initial) Wastewater Flow: GPD
(See note below, if applicable
CIO ~ ~v N Rf, (Repair)
Installation Requirements/Conditions Number of trenches 3
Q
Septic Tank Size 1-C74t gallons Exact length of each trench 1Q0 feet
Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: fo 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:
inches total
WATER LINES (IN(LUDING 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: /understand the system type specified it different from the type rpecifled on the app/nation. /accept the rpecipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation . e site plan, t, 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 sub ompliance wi a pro the and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: N i.G Date:
Construe ' uthorization Expiration Date:
HTE# 605a~
Permit # a6--1x3
Harnett County Department of PUblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: C->-» t- aCcc.- SUBDIVISION n~+cZy 7S LOT # 3
Authorized State Agent: Date: l()I 1
,
a~$
Ess& ap
Department of Enviromnent, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOQJSITE EVALUATION File e:
for ON-SITE WASTEWATER SYSTEM: Code:
Owner Applicant:
Address: Date Evalmte& 114 111
Proposed Facility: ~s Design Flow (.1949): -34 a Property Size:
Location of Site: ~ Property Recorded:
Water Suppi Public ❑ Lxlividual ❑ Well ❑ Spring ❑ Other
Evaluation Method: [7V A g Pit Cut
Type of Wastewater, swage ❑ W211 Process whed
R
O
P
SOIL MORPHOLOGY
OTHE
1
L
.1940
LarAtim
H
i
.1941
R
PROFtLB PAC'CO
Eta
S.-
p
Powflow
zon
or
Depth
.1941
.1941
.1941
soil
143
b
Slope %
(bL)
struchow
Consistence
wetned
9oi1
.1946
3epro
.1944
Reatr
PhMS
Clam
s
Te~dure
Mtnanlo
Color
lN.
Clsse
Hods.
R LTAA
PZ
.
1
C) as
G s
17T NSA
'~`6
S~lc cL
(='tz ~5t
PS ~
.Z-
Site ClLWCadon (.1948k e S
Evaluated Br. :y't
Others Premme
3 x:\ o d $