IPACHTE# 1)--5 2°1~I'*-~ Harnett County Department of Public Health
Improvement Permit 2 6 7 2 4
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C-RQC-55 -rlvcz C~~ Q,p
ISSUED TO: C) ~p(L1S0 N N G SUBDIVISION C.^IPc2.ES5 faz r~t;C LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: u N Sy5
Projected Daily Flow: GPD
Number of bedrooms: LA Number of Occupants: max
Basement ❑Yes XI No
Pump Required: ❑Yes ❑ No 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::
The issuance of this permit by the Health Department in no way guarantees the ' nce
site is subject to revocation if the site plan, plat, or the intended use changes. The Im
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
a-5 Date: 1) hi 1 \ SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Vent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: -~o,a \ N U PROPERTY LOCATION: CJ'?QCS5 (1rAv2cm
SUBDIVISION C-;-i (-Lc55 ?o), c LOT #
Facility Type: S 'iP~ e)'r"3_4f) Z, New ❑ Expansion ❑ Repair
Basement? ❑ Yes )Z~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Q,'3 % `25ao„c;~ \ o N S» ; -,.N (Initial) Wastewater Flow: LJ'i_ GPD
(See note below, if applicable)
cl-~'~o ~~sJvC,> ~ ct r1 S~5 ~ t=.rr~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size N Q S) 8 gallons Exact length of each trench 6--) feet Trench Spacing: c 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: a® a~ inches (Maximum soil cover shall not exceed
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
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.
O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / anderrtand the system type specified it different from the type specified on the application. /accept the rpecircationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject t on if the si`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 is subject to complia wit h ' ion the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: `1\ q
Co ction Authorization Expiration Date: 1
HTE# --j1+1~ Permit # a6~'~.4
Harnett County Department of Public Health
Site Sketch
\ PROPERTY LOCATON: `~-~IP~CSS C-~}V2G~k
ISSUED TO: oe`> 1►•t G SUBDIVISION C.~)P cc.EsS Po ~N7-E. LOT #
Authorized State Agent: m6 bl-NNeCL..`ro1.`~os Date: 11),q I ~l
faSP
dad
}4)(.1)G2C6.rq PG1-J1
Department of Environment; Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 1-1 S'GCJgQV rr`S Design Flow (.1949):ls(y
Location of Site: Property Recorded:
Water Supply: 01!ublic[] Individual ❑ Well
Evaluation Method-D-Auger Boring El Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
1940
Landscape
Position/
Slope %
S
1
orizon
Depth
(in.)
10
OIL MORPHOLOGY
.1941
.1941 .1941
Structure/ Consistence
Texture Mineralogy
S1 t{Y1 sv \
THER
PROFILE FACTORS
.1942
Soil .1943
Wetness/ Soil 1956 Sapro
Color D th IN. Class
ofile .1944
Restr estr Class
Horiz & LTAR
S ~j
4R
Description
Initia
S st
Repair System
Other Factors (.1946):
Site Classification (
1948):
Available Space .1945)
.
Evaluated B
:
System T
e(s)
y
Others Present:
Site LTAR
fir(
n 6`) D~