IPACNTE# a=-Ti-7 Harnett County Department of Public Health
Improvement Permit 26735
A building permit cannot be issued with only an Improvement PerrrLit
PROPERTY LOCATION: MPLZ'tS ~p
ISSUED TO: Haw tact n v p ~CLS S.-..T--C.- SUBDIVISION ~s ~~occss LOT # " FG
NEW REPAIR ❑ -JANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S'~:70 Proposed Wastewater System Type: C .a. , v~ ct ,J L
Projected Daily Flow: 0 GPD
Number of bedrooms: 1-~ Number of Occupants: Qo max
Basement ❑Yes 'N No
Pump Required: ❑Yes N No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well l00 feet Permit valid for: XFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: S Date: \ ~ ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit holder responsi tle 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: 1" 0~,.) a2n ~ v>LoG25 L.LG. PROPERTY LOCATION: K2'45 ~
SUBDIVISION NsNe~oa~D LOT # '9 C,
Facility Type: G VQ 'ti~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes "5~ No Basement Fixtures? ❑ Yes \5~No
Type of Wastewater System** C.c r4--4G rn,\ 0 t hI_ (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable
C1J N JEN-~ U.r< P% L (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t 0 O o gallons Exact length of each trench s7 ® feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 2.~ "3b Inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: LJ Feet on Center
Soil Cover: 51.- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
6 inches below pipe
Q. inches above pipe
1 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: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signat Date:
This Construction Authorization is subject to revocation i site Ian, 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 s9 o compliancNiLh thft -v ovi s f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
struction Authorization Expiration Date: _
HTE# 11-J--2D1 -'n Permit # as-735
Harnett (bounty Department of iblic Health
Site Sketch
ISSUED TO: x-)0
Authorized State Agent:
PROPERTY LOCATON:
SUBDIVISION 5~1 LOT
L-)-4
1-y~ Date: 111\
'89,
too
.g S J
W7 M NG gv,~- flQ--
~q J
0~
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:'-~Q~2cPjn Design Flow (.1949): L)N~S
Location of Site: Property Recorded: f
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Bo ing ❑ Pit ❑ Cut
Type of Wastewater: 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/
Depth
De
.1941 .1942
.1941 Soil
Slope %
Structure/ Consistence Wetness/
.1943 .1956
Soil
Profile .1944
S
Texture Mineralo
Color
Sapro
D th IN. Class
estr Restr
Class
Horiz & LTAR
a~
s s vWL N'5)Nq
$
a
ail,
G 3
s
a3=~~
c ~3 v~~ 1
g
Description
Initial
Repair System Other Factors (.1946):
Available Space .1945)
S ste
Site Classification (.1948)S
System T e(s)
Evaluated B
c.a N Ge, r
Cl~
Site LTAR
:
Others Present:
3~~0 c Ov,-3a'