IPACHTE# I 1-~ 5-1 Harnett County Department of Public Health
Improvement Permit 26720
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Nc- NAwy a"I
ISSUED T0:
r^
aa9oU'6~5 GWi 4BDIVISION
LOT #
NE~,K
REPAIR ❑
fANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SV70 (45
Proposed Wastewater System Type: Q_
eoNvL,fTko v j t.
Projected Daily Flow:
I-)
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes
=<_lo
Pump Required: ❑Yes
No
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
'~k Public ❑ Well Distance from well t feet Permit valid for:
Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: NO 1120 O) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the if 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 Improve 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 TOSoy~r~FSt ~y,Es1sJ Chi t~s ~ U ~GSCfV-r- C. PROPERTY LOCATION:
~ SUBDIVISION LOT #
Facility Type: SCJC'~S~x~GJ New ❑ Expansion ❑ Repair
Basement? E:1 Yes No Basement Fixtures? Nes )K No
Type of Wastewater System** (:-a v4-4 V_--rS \o rat p.tW (Initial) Wastewater Flow: a! 'O GPD
(See note below, if applicable
r--3 -4 Q:;' J"' ' n" V (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t ® O O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench `t0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: t`b inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 0\ Feet on Center
Soil Cover: cc, 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) MAST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: I understand the system type specified is di/ferent from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re 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 ikZ~ b' to compliance w he pro ' io h and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[[Authorized State Agent: 2 C Date: l a `ag
Construction uthorization Expiration Date: cs~7
HTE# i ) "5--Cl-l S- I
Harnett County
ISSUED
Authorized State Agent:
Date: VC
Permit # 2.(D_
Department of Public Health
Site Sketch
PROPERTY LOCATON: N G
x1- SUBDIVISION LOT #
waEn fx2E~ I,
Department of Environment; Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
f Code:
or ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: ~ ~-7 ,-)e > Design Flow (.1949): Y Property Size:
Location of Site: Property Recorded:
Water Supply: toublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:q Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R.
O
F SOIL MORPHOLOGY OTHER
.1941
r PROFi
r.R FArTnRc
1 F~t
E Position/ Depth j~
# Slope % (In.
.1941
Struct
)
.1942
.1941 Soil
.1943
ure
Consistence Wetness/
Soil
Texture
Mineralo Color
D th IN
L
4
C'~
R1r55
L
Nl ~,ht5~1'le
101/ YL Lk
Description Initial
it System Other Factors (.1946):
Site Classification (.1948):'C5,
Evaluated By:
Others Present: V n
1956 .1944 Profile
5apro Restr Class
Class Horiz & LTAR
tis1P5
3