IPACHTE# EC) - -D?-N953, ar etL County Department of Public Lalth
Improvement Permit 26241
A building permit cannot be issued with only an Improvement Permit
\ PROPERTY LOCATION: 1-lW }'a.~ tiJ G5'C
ISSUED T0: ynt t~1 C.O s145"< 4Z V G-{Lt) N l°J L~ SUBDIVISION 1 t nt Earl pct +.r ,C- LOT # b l
NEW'X REPAIR j=j E NSION ❑ Site Improvements required prior to Construction Authorization Issuanc
Type of Structure: CiZoct G2~" N2 G L\
Proposed Wastewater System Type: as°f o l~-Eo uCr 1 d N sys-rE rr~
Projected Daily Flow: GPD ~~rO~c-la`C~D G~1 Ye-oPOSep+L... ~EtuGE ~~5= ~~\o
Number of bedrooms: Number of Occupants: C. max
Basement ❑Yes ',No T71 E)--V ~c2 Elh ``2dr,N ~\4-7 ~P\ Ff=\G .
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: S I N I \0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i ce of other 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 Impr ment 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: \A -i r"-A C-0 rss-clt-v C;'%-`o .N PROPERTY LOCATION: Vkw--i
SUBDIVISION = 45.6 c po t ~t" LOT # t l`~
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** a'1n 42C:ovc~\tlpv S ~5'T►h (Initial) Wastewater Flow: {esQ GPD
(See note below, if applicable
c-`~ l,b QZ-DQCAI9" 5')VT'f -~M (Repair)
Installation Requirements/Conditions Number of trenches i
Septic Tank Size gallons Exact length of each trench 30 ® feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G °S inches
Maximum Trench Depth of: 1~= )'i 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: ~~Pd1~1f'n aF ~sv611. ~Q ti~ Q) vUZL sC~rn_ 7 inches total
CC~Ct,,-,a~ s C7gv QoP0SAL V=Lcp,j Pw9 1.~GAuc 7 1-55 .
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 system type specified is different from the type speciped on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization-is-object to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the situ Thk
Construction Authorization is ~cf~t to complc- ' e lions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: y Date: C
onstruction Authorization Expiration Date:
HTE# 10-S---VA "t3 C, Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON)~- `)~,Nq~
ISSUED TO: ~o QAJ c, ~ 0.9 SUBDIVISION'-"C t N -►'c~- LOT # `off
Authorized State Agent tjG-HS OLty~ TaLIcS®bQf Date: c a3 1)
1L~0"
i
1-7t
Department of Environment, He and Natural Resources
Division of E Mronmental Heap,,
On-Site Wastewater Section
SOUJSPPE EVALUATION
for ONE-81T$ WASTEWATER SYSTEr%
Sheet:
Property ID:
Lot
File
Code:
Owner.
Applicant;
Address:
Date Evaluated: -6) 1 0
Proposed Facility:: ` e6b(wo Design Flow (.1949):
C Property Size:
3 0
L
i
oc at
oa of Sits
.3
Property Recorded:
Watet Snppir:'
Public ❑ Wividual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ pit
cut
Type of Wastewater: 0) Sewage ❑ Industrial Process
Mixed
P
R
0
F
1
1940
SOIL MORPHOLMY o >Z
.
L Landscsps
.1941 P
Horiz=
RUFU FACTORS
E Positiod
b Slops %
1941
Depth .1941 .1941 Soil
(Ice) SMuoh" Corwdew wetneW
.1043 .1956
.1944
ftm i <<
L~
Texture Minersfo Color
Soil Sspro
IN. Clap
Ratr
Hari~r
A CIM
L
# TA>t
.
DeuziPdcn
Wild Repair Syrtem Other Factors (.1946k
9
Avsila6b 9 sa ,1945
Site ClassiBcadon (.1948° g
$ ttsf0 s
-sift LTAR
{
7, `%o eGLei `~cCZf J EYa,tJOted 13y: V 5
g~ Others Present: