IPACHTE# 3Harnett County Department of Public Health
Improvement Permit 26476
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: o mss,
ISSUED TO: CU rn~,CcrJt P,dvp ~'Q ~C-S SUBDIVISION -1~ N 6'c N e e✓+a•C-G LOT # 12-
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5R-Q) (J' Al
xUd~
\2Eot~.:~ost Sys s~«.
Proposed Wastewater System Type:
Projected Daily Flow: r~' fo0 GPD
Number of bedrooms: Number of Occupants: G max
Basement ❑Yes 'K No
Pump Required: ❑Yes V No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well `O feet Permit valid for: 'rVFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: s \ 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is of other permits. The permit holder is responsible 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 Improvement 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, .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 T0: ( um~,Ea.~ o.No ~Qr.GS PROPERTY LOCATION: ~C z" owEX& ~
1 9 SUBDIVISION I i , ~ 'PL-P CG LOT # Q,
Facility Type: SS-D C~$'c ~O, / New ❑ Expansion El Repair
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 9~-S°r° 92---ovC7~~ 0 sa ~15~Ccr (Initial) Wastewater Flow: GPD
(See note below, if applicable
')5 '~>v V`r-4uu5 10 N SJ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size O ®d gallons Exact length of each trench O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: I-' 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the sy tem type specified is different from the type specified on the app/ication. /accept the rpecircationr of thi permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plaq, 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 complianceh "ones and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constru Authorization Expiration Date:
O~
HTE # Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: ~-v mc~ Q ~l~n, S SUBDIVISION 1 iN P~P`c.G- LOT # k
Authorized State Agent: ate:
i vNSVtTABI,G
15~~
RUN
C-
,sveR C)QA-4 r-
-7-0
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSM EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Coder:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 c", Design Flow (.1949): 34, G Property Size:
Location of Site: Property Recorded:
Watet Supp[y PublIC ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Baring ❑ Pit flit
Type of Wastewater. Sewage ❑ Industrial Process U Mxed
P
R
O
F
1
L
1940
d
OIL MORPHOLOOY
.1941
ig
PROFILE PAC COR3
9
1
acap
L.an
Poeitiow
Slope %
v l wo
Ho izam
Depth
(1a.)
s- l
.1941 .1941
structulw CorubteM
Teams Mineralogy
g rn Q
.1941
soil .1043
we"ad soil
Color Diek IN.
.1956 1944
sq" Re*
Clan Hail,
ftmi
Clan
b LTA>t
tG=3~
5S3~C~G1.- ~2 Sb~~
'P~
w•tds Kepm sya m Other Factors `.I 946X It I Situ Classification (.1948k e 5
err Evshmted Br. 43 N
7,.-67-1 A.<% Othas preme