IPACHTE# 11-5-~"1 CZ Harnett County Department of Public Health
Improvement Permit 26748
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: UvE21~1u S
ISSUED TO:,A'r-'E.S. ~4 Z SUBDIVISION 1-~PC2 Z- Gta~~, LOT #
NEW REPAIR El
PANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of tructure: o 3C~ x56'
Proposed Wastewater System Type: vrnP-To &5% ? LouG~)ON
Projected Daily Flow: 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes >~rNo
Pump Required: XYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1(7)0 feet Permit valid for: Five years
Permit conditions: No expiration
Authorized State Agent:: eqs Date: 1 a. ~ 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ce of other 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 vement 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, .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. f~ C~
ISSUED TO: AMy-y q. Caft~~F~Z~1 `J(Z PROPERTY LOCATION: _Dv
SUBDIVISION L LOT #
Facility Type: MC-0 Ob x5C) New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'mil No
Type of Wastewater System** 1PyW o V,EpyC~cIos4 SJ5,s'Ec-A (Initial) Wastewater Flow: ~J GIRD
(See note below, if applicable
211 TR70o a$"LQ 9, EOU('SJ0ri (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Ex)s-virl z; gallons Exact length of each trench `1 Jc- feet Trench Spacing: Feet on Center
Pump Tank Size Facas-s tiN 6 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 101 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
O 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 Represen ' nature: Date:
This Construction Authorization is subject to revcZ a site lat 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~srt~e to compltt o s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
X15 Date: VaL
n Expiration Date: Nall Ili 1(-
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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 E(d<:Tj MS Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: "ER-Public❑ Individual ❑ Well
Evaluation Method Auger Boling ❑ Pit El Cut
Type of Wastewater: 'EZ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
LS
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Fri -j~
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Description
Initial
S em
R7 air air System
Other Factors (.1946):
Site Classification (.1948):
Available Space (.1945)
Evaluated By: 0-Y
System T e(s)
P o rre QL
F, c,c
Others Present: -
Site LTAR
U.
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