IPACHTE# 6Z, Harnett County Department of Public Health
Improvement Permit 2 6 7 4 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -~0uGP+LCO R4
ISSUED TO: Dp"Tsl iqY ~t z-1 P~mS SUBDIVISION flR\,4A yL1-~sa re.5 LOT #
NEW'TREPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M P,.4 0
Proposed Wastewater System Type: a~°lo ~Eoyt✓,1 os4 x.15 G~
Projected Daily Flow: ` ® GPD
Number of bedrooms: u Number of Occupants: 9, max
Basement ❑Yes No
Pump Required: ❑Yes -f,,:o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'A Public ❑ Well Distance from well 1®C6 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 iss
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: SEE ATTACHED SITE SKETCH
other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Ztt 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, .1957, .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~-~ N-A N PROPERTY LOCATION: M CS) o v C, o~
/ SUBDIVISION LOT #
Facility Type: ohs . ~t,.El3-I6~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes '14 No Basement Fixtures? ❑ Yes 'XNo
Type of Wastewater System** sExN (Initial) Wastewater Flow: `iy a GPD
(See note below, if applicable
~-~-C--~vc.;~v N o t,~ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size , c, o P gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench VOO feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1`a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: G, 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 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 specifed on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject t_revocation if the site plan,`pl~,t 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 Khsct t compliance visa o e nd Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
[[Authorized State Agent: Date: 1~
Constru ' thorization Expiration Date: 16
HTE# 11- 5 -~Q °►524-
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: M C~u r) t) 6 -'N, uZ
SUBDIVISION Qv,,v,3N-~ ~~l-zeds LOT #
Authorized State Agent:
Date: oa~ 1~ 1 \
154
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) OC4)cLoup,,~_ Design Flow (.1949): L)~OS
Location of Site: Property Recorded:
Water Supply: bkPublic❑ Individual ❑ Well
Evaluation Method: Ea%AugerBoring ❑ 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
Slope % In.
.1941
Structure/
.1941
Consistence
.1942
Soil
1943 .1956
Wetnes
/
.1944 Profile
Texture
Mineralo
s
Soil Sapro
Color D th IN.
Class
Restr Class
Horiz & LTAR
Ll ~t
S"gy -C..L
f~ 5V5,0
` L C l
S
\fm u
1-t
Description
Initial
Re air System Other Factors (.1946):
S st m
Site
Classification (.1948): 'P 5
Available S ace .1945)
S
Evaluated By:5S
stem T s)
Site LTAR
a
Others Present: eV