IPAC RHTE# 1a~lO%LAQ, Harnett County Department of Public Health
Improvement Permit 26702
A building permit cannot be issued with only an Improvement Permit
Q PROPERTY LOCATION: \40
ISSUED T0: ~~2~ j'~d~\tvSG t.t ~~®N1~5 GIIRDIVICION ~w~_~~ ('~a~ InT +fc^t
NEW, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 9v m2-a Is-'/- 9-r-Qv c"'\ O'~'J
Proposed Wastewater System Type: S 70 DSO' x '
Projected Daily Flow: Q GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'EKNo
Pump RequiredAes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -'k~ Public ❑ Well Distance from well \ (75 d feet Permit valid for: .Five years
Permit conditions: - ❑ No expiration
Authorized State Agent.: :'tO Date: 'S )i1"1 N l\ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o 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 Pe it 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: C~P2-I PROPERTY LOCATION: NC~.~B
SUBDIVISION GWC-.-,-4 OQ~ S LOT # S7
Facility Type: 5 FQ OA&- 'bk New ❑ Expansion ❑ Repair
Basement? ❑ Yes, No Basement Fixtures? ❑ Yes No
Type of Wastewater System' PUrn(? VO °jd ayVC~~ t ~ S C~Sn (Initial) Wastewater Flow: GPD
(See note below, if applicable
P v m47v ~S °10 ~.GO \0: (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 10 CO5) gallons Exact length of each trench ~D d feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 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: QE~+m'~ ~E9 ®QnoPoSAL ~~dn, L_S5 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 system type specifed is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject 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 ownershio of the site. This
Construction Authorization is s ect comp" the p s' a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: e c-5 Date: "8 11
Cons ' Authorization Expiration Date: 9 )-1 j
HTE# t l -S a~l®~~
Permit #
Harnett County Department of 1"ablic Health
Site Sketch
PROPERTY LOCATON: NC-a,10
ISSUED TO: GP%2,--1 ~-Q) ~N 0 N SUBDIVISION Q-"G O P~~S LOT # 5
Authorized State Agent: testis 6L),6,t 'totr_~oo Date: g 1"71 11
1s VLr6GCs>
1- ~
Department of Environment, Health 4atural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: a (+a Design Flow (.1949): S, c) cr
Location of Site: Property Recorded:
Water Supply: >ublic❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
SI'.
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
.1942
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure/
.1941
Consistence
Soil
Wetness/
.1943
Soil
.1956
Sapro
.1944
Restr
Profile
Class
L~
Texture
Mineralogy
Color
_.Depth (IN.
Class
Horiz
& LTAR
ate"'-~G`~%ti
G 5 L
i►s`-~`~.
5.01 f~
PM
~ 4
aA
I
m
s
5t__
sc~L
I-)
1{
5 t
c'n sw15 S
Description
Initial
S ste
Re r S ystem
Other Factors (.1946):
Site Classification (.1948): P S
Available Space .1945)
A
Evaluated By: ~
S stem T e(s)
vr~~
Others Present:
Site LTAR
,b.tis
rp,,
1.\,~ fo b, (Z Ti"