IPACHTE# A t-'5- --12A3 Harnett County Department of Public Health
Improvement Permit 26725
A building permit cannot be issued with only an Improvement Permit `ZZ
PROPERTY LOCATION: C.-i9CZ5&5-' C" 'J CLc:"'-"
ISSUED TO: S'-) Q- ~I~C1tI;~ d N L SUBDIVISION C-J QCLGSS C,i 8v, E LOT # ~l
NEWT REPAIR ❑ ~ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 S~ ~
Proposed Wastewater System Type: Qun ego % o+~
Projected Daily Flow: L7 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes X No
Pump Required.-Ayes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 O 0 feet Permit valid for: fXFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: 9-(--'1N5 Date: l) I-6 I ) I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a of other permits. The permit hold is sponsible 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 syent 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: fl TEL' ON ~ 3~4 C. PROPERTY LOCATION: C---J-9 Q11S`~
SUBDIVISION (Z,-)QCLes'5 VrTo r~ LOT #
Facility Type: SVQ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Q v c~P~o c~S to Gw~; `p, , ~~S S~~ (Initial) Wastewater Flow: 1-V ® GPD
(See note below, if applicable
p v. e~ tr ~~~~a ovG: 0 s~ (Repair)
Installation Requirements/Conditions Number of trenches ~A
Septic Tank Size do®(3 gallons Exact length of each trench C, 6 feet
Pump Tank Size t O ® Q gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: fo inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specired 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 rev the site plan, plat, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization isect ilcompliancew~Lh the pcv he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t~
Cons* 'on Authorization Expiration Date: »
NTE# 1)"5-)!: 3
-
Permit #
Harnett County ]Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
Date: 11~ 1) )
PROPERTY LOCATON: (-ye (z.Css e-;~702GY,
SUBDIVISION C.~)P2Es s o ) N`-C. LOT #
,F 6)Nr,~ ~ 0"A
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: °A d m5 Design Flow(. 1949): 40 GO
Location of Site: Property Recorded: /
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Bo 'ng ❑ Pit F1 Cut
Type of Wastewater: n Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
SOIL MORPHOLOGY
OTHER
L
.
Landscape
Horizon
1941
PROFILE FACTORS
E
#
Position/
Slope %
Depth
(in.)
.1941 .1941
Structure/ Consistence
.1942
Soil .1943 .1956
Wetne
.1944 Profile
Texture Mineralo
ss Soil Sapro
D th IN. Class Class
Color
Restr Class
1
~5
Horiz & LTAR
a sbtQ
c~
G s L ~ ~ls~3v~
S
A G
51C5(yZ..(l
.
J
Description
Initial
Repair System Other Factors (.1946):
S ste
Site Classification (.I 948),,b
Available S ace .1945)
S
Evaluated By: i~je
stein T
Site LTAR
e(s)
p S V Q c
Q ,
,
Others Present:
: p