IPACHTE# `1- 5-;Cl % Harnett County Department of Public Health
Improvement Permit 2 6 8 5 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M>c,tapTo,4&z-
ISSUED T0: V rn0~2L~~fl ~-1~n,ES lsyC. SUBDIVISION c&-lf Qc-Psc,G. LOT
NEW K REPAIR EXPAfION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V ~~S f T--1 S
Proposed Wastewater System Type: C.® N-,4 --4 C- rat` \ C3 1,1 s- L
Projected Daily Flow: 1~'® GPD
Number of bedrooms: -15- Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes '~;No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community t< Public ❑ Well Distance from well \.®V feet Permit valid for: Five years
Permit conditions: A No expiration
Authorized State Agent:: S2 H5 Date: 1~\yi M SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i ce other permits. The permit holder is respo sible 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 Impro 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 T0: PROPERTY LOCATION: ~C~c,1TowC-f
~ ~ ~SS x SUBDIVISION --C ~N 4L.;,, CF. LOT #
Facility Type: S~ ff~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" C-0 "A-4 s.w -")N Ski (Initial) Wastewater Flow: GPD
(See note below, if applicable
C., "J-4 0 0 Pti`^ (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size 10(~) cJ gallons Exact length of each trench 1 150 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a ~3f- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 5 Feet on Center
Soil Cover: 1 aLA inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: I understand the system type speciped is different from the type specired on the app/icatiom / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation i sit an, 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 su t ompliance a 'sion a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 'Q-C-- t\.S Date: 1
Const tion Authorization Expiration Date: ~a \ t
HTE# A 1 S -2`x-1`1 Y,~, Permit # 5 J~
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LOCATON: cnoowGr,---
ISSUED T0: ~v~-,c EaL ,N9 KGs G SUBDIVISION ~~~~t;r, ~Actr LOT #
Authorized State Agent: lbz~~ 1 oL t:5op Date: va11 b1 ►1
a3
f
}~1
1~ .
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 (~6EkjQpG<-, Design Flow(. 1949): '3
Location of Site: Property Recorded:
Water Supply: , Public❑ Individual ❑ Well
Evaluation Method:hAu er Boring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
R
I P
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
~-5
V
Cr ~1
6 s
V7'ZL ,.fJN9
g
I
_J
Description
Initial
Systei,if
epair System
Other Factors (.1946):
Site Classification (.1948):
Available Space (.1945)
Evaluated By: C7`
System T e(s)
e- N
Others Present:
Site LTAR