IPACHTE# 1 Harnett County Department of Public Health
Imurovement Permit 26731
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: V), 'gvG~t~~ RID
ISSUED TO: "l -1 r4 C-0"S-5 cLvU~N b-~-a SUBDIVISION 5, )mt^-zG 1LA-\ t.L LOT # !
NEW REPAIR ❑ EXP ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S70 (Gd,60"
Proposed Wastewater System Type: Z-tf/a ~C~ovc-s~ ~N C--c,,N
Projected Daily Flow: S GC) GPD
Number of bedrooms: Number of Occupants: Co max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community \0 Public ❑ Well Distance from well t CJ 0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: V\ 1 )5-1 N SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o r permits. The permit holdeill 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 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: y N Co N 5-S Q ,,\J `S`C 0 N PROPERTY LOCATION: C) (J 6a.t
SUBDIVISION S u fnt-E.rL1A"--.- LOT # N-1.)
Facility Type: S 4 6o',K Go) X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ')4 No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** aS°1o CZ~v c-c Ica av E-- cN
(Initial) Wastewater Flow: GPD
(See note below, if applicable
2.~'°la 9.'S"oue,Tt,t~t~t 'J~s -3 Gt, (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size o4d~ gallons Exact length of each trench -7 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. }~°ay► inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: ~l Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING 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 specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revo i if 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 is ct to compliance the. ' ' s of'Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: \ Date:
Constru ' Authorization Expiration Date:
HTE# ~ ) "5' 0 Permit # ~6 ? 3 1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: M C;Q U u GAL10 Qb
ISSUED T0: ~~~~0 SUBDIVISION Svmc-tiLOT #
Authorized State Agent: S C', 1-1 bq, -T Date:
v
W 4~S ESQ.
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60"
X Go"
fi
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 513 Property Size:
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Metho~Auger Boring ❑ pit ❑ Cut
Type of Wastewater: E~ewage ❑ Industrial Process ❑ Mixed
R
O
F SOIL MORPHOLOGY OTHER
I .1940 .1941 PROFILE FACTORS
L Landsca e W-4
p
E Position/
# Slope %
L _5
zon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
epth
7(1N.)
Description Initial R air System Other Factors (.1946):
S stem Site Classification (.1948):
Available S ace .1945) Evaluated B
S stern T e(s) By: Ct~(
Site LTAR Others Present:
• ;1
.1956 .1944
Sapro Restr
Class Horiz
Profile
Class
& LTAR
S