IPACHTE# Harnett County Department of Public Health
Improvement Permit 26747
A building permit cannot be issued with only an Improvement Permit
Q PROPERTY LOCATION: 1A-,4-1 1-k()
ISSUED TO: o G a~ U 21-G--~ D v r `-QULS SUBDIVISION LOT # 1
NEW>< REPAIR ❑ E NSION ❑
Type of Structure: 'S q0 t'5 D:
Proposed Wastewater System Type: C-5"-4 ErtS o t,3 4~ 1..
Projected Daily Flow: S C O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes -N No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ~O Q) feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: L ~S Date: 17.. '8 1 \ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua o t! r permits. The permit holder 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 Improvem it shall not he 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: ) of ttZGs v 1_--0Gq5S PROPERTY LOCATION: ~k 61
SUBDIVISION LOT # A
Facility Type: ~UC,Sa. x fo New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** 3 CN-4S 044 (Initial) Wastewater Flow: 3 4 GPD
(See note below, if applicable
C~o Vt-4c~sv P,1..., (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1 co Z) 0 gallons Exact length of each trench 1 SC) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: N inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: ~I Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth
inches below pipe
`a 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 speci>ed 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 revocation 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 subject to comp a the ovision he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 9_(,-N\5 Date: h tl
Conn Authorization Expiration Date: 8. 1~
HTE#
Permit # X0'1 ~0
Harnett County Department of Public Health
Site Sketch
p PROPERTY LOCATON: VA rr1 ~ d l
ISSUED TO: \4 ~ISSk Swl~C)Ei S SUBDIVISION LOT #
Date:
14's-q /
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: 3 QCOQovn5 Design Flow (.1949): ',~6 O
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method: Auger Boring ❑ 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/
Slope %
Depth
(In.)
.1941
StnactureJ
.1941
Consistence
.1942
Soil
.1943 .1956
Wetne
/
.1944 Profile
Texture
Mineralo
ss
Soil Sapro
Color D th IN.
Class
Restr Class
L5
Horiz & LTAR
~c Z
t-.7-36
SQx sCL-
ss) 5(a
`n-j C?_ -1h
P5
-14
oh,lf
5.51 5P
P s
it
6
G 5l
V e y~'
Description
Initial
pair System Other Factors (.1946):
A
S ste
Site
Classification (.1948): T5
vailable S ace .1945)
S stem T S)
,
Evaluated By:
Site LTAR
Others Present: ~~h