IPACHTE# - J __-A J:_ e Harnett County Department of Public Health
hDrovement Permit 26330
A building permit cannot be issued with only an provement Permi_ts~
PROPERTY LOCATION: ~Sf - T l a~ e. K std-
ISSUED TO. r J C~ 4-k SUBDIVISION ; k yK C yr' ° LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J_F 0 qt A.'I9,
Proposed Wastewater System Type: ke-t v _ t~k l r -
Projected Daily Flow: Iles GPD
Number of bedrooms: c( Number of Occupants: max
Basement ❑Yes CsKO
Pump Required: ❑Yes 10"'No ❑ May-be required based on final location and elevations of facilities
✓J Public ❑ Well Distance from well feet Permit valid for ?Five years
Type of Water Supply: El Community PT"
Permit conditions: ❑ No expiration
Authorized State Agent:: yZ &W, Date: :T I-V tuts! SEE ATTACHED SITE SKETCH
The issuance of this permit by the Ith Department in no w y guarantees the issuance of other permits. The permit holler 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 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 TO: PROPERTY LOCATION:
Ji-c-, A-4., ~ lei.
SUBDIVISION
lx"rre LOT #
Facility Type: J
E4-New ❑ Expansion ❑
Repair
Basement? ❑ Yes ❑ No
Basement Fixtures? ❑ Yes ❑ No
V
56
Type of Wastewater System"
~ l 4c.,
c,. n tc J v c RA Jr
GPD
(Initial) Wastewater Flow:
1
(See note below, if applicable
U2j-7v k It 11 c:6-" tA- ji-I 'k I (Repair)
Installation Requirements/Conditions Number of trenches ~2
,g
"
o
Septic Tank Size0
gallons Exact length of each trench 1
feet
Feet
n Center
Trench Spacing:
Pump Tank Size
gallons Trenches shall be installed on contour at a
Soil Cover: ° it' inches
Maximum Trench Depth of. / 6, " 3
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
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING 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 system type specified it dif/ergot from the type rpeciTed on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Thk rnnatrurtinn Aothnriratinn is mhiert to revocatinn if the site plan. nlac or the intended use chances. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 4- X Date: 3 X5- 6 0f(
Cl/ Construction Authorization Expiration Date: rs' 2a /G
HTE# Permit # ~,76
Harnett County Department of lNiblic Health
Site Sketch
PROPERTY LOCATON: h,sJz, ~s ✓~w.
ISSUED T0: ✓c,.~ ` I SUBDIVISION /'t,mow, ~r t1=~ t LOT
Authorized State Agent: Date:
Lss
~ c
1
I
0/0
ii
t
U"
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM:
Owner. Applicant:
),zt
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Watet guppy; !ic ❑ Individual ❑ Well
Evaluation Method: er Boring ❑ Pit
Type of Wastewater.
Sewage ❑ Industrial Process ❑
V4
Sheet:
Property ID:
Lot
File f#:
Code:
Property Size:
❑ Spring ❑ Other
cut
Nrfixed,
P
R
O
F
1
1940
011L MORPHOLOGY
.1941
THER
PROFU FAG'1ORR
L LMW&C pe Horizon
E Positiod Depth
l1 Slope % (la)
.1941 .1941
I Struculaw Comlkeco
Texture Mimmlo
.1941
Soil
wefaesf
Color
.1943
sou
IN,
.1936
39"
CIA"
.1941
Re*
Hons.
hom i
CAN
ALTAR
>
I- L~ !
C l i ,sJfile
Irk
0, 3-Z
Other Factors (.l 946k
Site Classification (.1948k /,f
Evaluated Br.,,
Others Present: