IPACHTE# 11-s--QA5 Harnett County Department of Public Health
Improvement Permit 26854
A building permit cannot be issued with only an ImprovempOermit
PROPERTY LOCATION: M 1 rna62-
ISSUED T0: 1Ne. SUBDIVISION 1 sc~GE_ev LFl~ LOT # 3
NEW ' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5 S~ 4
Proposed Wastewater System Type: 4s(D/o U-'Dvc,) aN y5S';-z1f`
Projected Daily Flow: 2~ GPD
Number of bedrooms: 3 Number of Occupants: L, max
Basement ❑Yes No
Pump Required: ❑Yes No,j1ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ! C DO feet Permit valid for: Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: ZfJ1S Date: 1~T 111 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the 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 It ement 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.
ISSUED T0: ~~m L1.SaNfl Ocn ~ N G PROPERTY LOCATION: M -1C-C D 0-V4 6
SUBDIVISION 'Tir j GG-N) Pz taCC LOT # `5 l
Facility Type: ~~flSS'~J New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 2) RCCOvL,\Or1 S 5,7 C-- (Initial) Wastewater Flow: GPD
(See note below, if applicable)
aS~'/~ ON (Repair)
Installation Requirements/Conditions ( Number of trenches k cl
Septic Tank Size 1~Q gallons Exact length of each trench 1 'd Q) feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: }a inches
Maximum Trench Depth of: al--3® 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 (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /under understand the system type specified /s different from the type specifed on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation site p 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 suboo ttdCkprnpliance i the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ^~G ~S Date:
onstr 'on Authorization Expiration Date:
HTE# Permit
Authorized State Agent:
t`1Si
~Gtel vE/L--TOu YS!p OT Date: t~1~111
0
0
c
6'%
U
9
N
1~11-1,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 35 C-4>pzo r~~ Design Flow (.1949): 36 a ~e
Location of Site: Property Recorded:
Water Supply: J'~Sew% blic ❑ Individual ❑ Well
Evaluation Method: uger Boring F1 Pit ❑
Type of Wastewater: age❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
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/
Colo
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Re&
Horiz
Profile
Class
& LTAR
o s~ t v
Upa~`
c ~ L-
~a '~tt5
~3~ GL
g 5 S
Description
Initial
s stem
Repair System
Other Factors (.1946): ? . <
Site Classification (
1948): °
Available Space .1943
.
Evaluated B
"
System Ty~s)
Y-,
Oth
P
t
Site LTAR
ers
resen
: