IPACHTE# \N- 'E) 'X1S2--7 Harnett County Department of Public Health
Improvement Permit 26733
A building permit cannot be issued with only an Improvement Per it
t~,2 s
`l PROPERTY LOCATION: VN
ISSUED TO: CIv Imo 2U-s~~t> ViQ z~ 5 l NG SUBDIVISION N-s Er- c~cz~ LOT #
NEW X REPAIR EXPSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 2 5°10 ~ov ~O os 5~} 4 F~r>
Projected Daily Flow: a~ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes A No
Pump Required: ❑Yes ❑ No \;E~ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1(~ feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: d1 ~f 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit holders resAnsible 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 tttt lermit 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 T0: C.~ t~aF:2i Saao 1C3r~G5 G PROPERTY LOCATION: NlAt2
SUBDIVISION Pis>.c,C~ LOT # N_
Facility Type: 5Q70 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes \Xt No
Type of Wastewater System** ~D... to Qj cs~ v PJ ~1 5 Grp (Initial) Wastewater Flow: 2 GPD
(See note below, if applicable
Sa/a T-'&'D U C/5) QJ i~4 ~av S sES~ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size i(0 O 4 gallons Exact length of each trench 1 So feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 3 C~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 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) 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 if different from the type specified on the application. l accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation i e plan, plll~ the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is sNec'gmpliance wr a provisi_ a law d Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: v Date:
Construct' uthorization Expiration Date: 6
HTE# Permit # 3,C133
Harnett County Department of Public Health
Site Sketch
rr~~ PROPERTY LOCATON: } t P`~-~
~Zzr-QQS, LOT # A C°.
rr\ G- SUBDIVISION A-5
ISSUED T0:
Authorized State Agent: "SoL~POODate:
2
t1
A
J /
1 ('J
i~
5
C
Lo C,~.~, 0 dp Mw 6
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 Q cOZdo rN Design Flow (.1949):32 j~ Property Size:
Location of Site: Property Recorded:
Water Supply: Tublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method Au er Boring ❑ Pit ❑ Cut
Type of Wastewater: 'Elesewage ❑ Industrial Process ❑ Mixed
P
R
O
P SOIL MORPHOLOGY OTHER
0 1941 PROFILF FArTnR4
I Fm_tl
1 ___._.1942
E PositioN Depth
# Slope % (In.)
.1941
Structure/
Texture
.1941 Soil
Consistence Wetness/
Mineralogy Color
1943
Soil
D th IN.
)~S
VFr~
91
ilif0
C- sL
1✓~z~
0
\a J
Yt-tl 1~,~
VF,
3
J
7t ~r
Description Initial pair System Other Factors (.1946):
S st Site Classification (.1948):-5
Available Space .1945) Evaluated By:
S stem T e(s) Others Present: 111
Site LTAR
l R1 Sfl C~_.; 3~ ry.
.1956 Profile
Sapro Restr Class
Class Horiz & LTAR
s~
4
5.~
S,~