IPACHTE# 10-5 tG Harnett County Department of Public Health
ImDrovement Permit 26397
A building permit cannot be issued with only an Improvement Permit
pp PROPERTY LOCATION: N 6Esc 194>
ISSUED TO: D a_L. C-, -os -4- 0 MF-5 SUBDIVISION PP~Stes eLS Pd > n1-i LOT # 3 2,
NEWA REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5G O6`'s6'-3 (0)
Proposed Wastewater System Type: Salo 2Coyc n sv `-~7~ c=m
Projected Daily Flow: "360 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No ><May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well VC DO feet Permit valid for: X Five years
Permit conditions: ~lz~ ❑ No expiration
Authorized State Agent:: vy ~21c`c~5 Date: I 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance b r permits. The permit holder 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, .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: ►Li. cx t<V- \\0chE5 PROPERTY LOCATION: 1 NGEnt Q-Q
11 SUBDIVISION ~KiN tys o~ti LOT # 3a.
Facility Type: SFOC''+~""3d/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** 96 o REZuON\QN S"1'SVEN-\
(Initial) Wastewater Flow: 3 d GPD
(See note below, if applicable'
2.5°0 1'~T~OUG: 1C7 r~ Sy~iGr~ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size l00 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench =LfoC i feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. ?-~k inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 01 Feet on Center
Soil Cover: N a„, 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 ]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/ication. / accept the specifications of this permit
Owner/Legal Representative
Date:
This Construction Authorization is subject to revoc ' 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 isjubjg t to complia with they"ons o ie Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: a-
Con ction Authorization Expiration Date: _
HTE# Permit # 3Ci-l
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Department of Ewamnmenk Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSItTE EVALUATION
for ON-SITE WASTEWATEIR SYSTEM
Owner. Applicant:
Address: Data Evaluated: 0., ~
Proposed Facility: 3 Design Flow (.1949: 360 ~s)
Location of Site: Property Recorded:
Water Supply; APublic ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit
Type of Wastewater. Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
14fixed
P
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1
1940
OIL MORPHOLOGY
.1941
THER
PROMIA FACTORS
L
9
H
L.aadtcape
Position/
Slope %
Horizon
Depth
00
.1941
Structu W
Texture
.1941
Continence
Mineralogy
.1941
soil
wetnetd
Color
.1049 .1956
soil Sapre
1N. Clap
.1944
Restr
Hats.
Pmtllti
clue
At LTAX
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nip Repair system Other Factors (.1946)
Site ClaaaiEcation (.1948) s
Evahated By: ~C
~)c Othas Present: