IPACHTE# \~-5 Harnett County Department of Public Health
Improvement Permit 26860
A building permit cannot be issued with only an_I,mm rovement Permit
` , PROPERTY LOCATION: 1 t rnQ~.2LN J
ISSUED TO: P+fC trQCt~~ `~'o'cmss 1rvC. SUBDIVISION 'THG S\jmm J LOT # 1f
NEW>< REPAIR ❑ E~}ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 5' ® ( 3 ~ ,
Proposed Wastewater System Type: C.arvvL-A*N torVot
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: ~ ..max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )K Public ❑ Well Distance from well IM feet Permit valid for Five years
Permit conditions: - N ❑ No expiration
Authorized State Agent:: 9-4--k5 Date: ``I~A SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarani the issu other permits. The permit holder is respons le 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 Improve 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 TO: \4 AT EC 'N7 _ V\0Me;S 1t4C, PROPERTY LOCATION: \ % M S 2L-\'-3C . `Z-V
SUBDIVISION-777%, S u-r-% in LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ;K No Basement Fixtures? ❑ Yes No
Type of Wastewater System** <Z-0 N -JGra-'N v ra RL_ (Initial) Wastewater Flow:U GPD
(See note below, if applicable
C=r-4'5'X0 'tJ RE-- (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1 OC) CD gallons Exact length of each trench '160 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2.4 ®3lo inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 12-3. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Q, 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: l understand the system type specified is different from the type specified on the application. l accept the specipcations of this permit.
Owner/Legal Representa ature: Date:
This Construction Authorization is subject to revoca the si fat 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 su4~ompliancer a ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 11 1t
Con ' n Authorization Expiration Date: a
HTE# t~ - 5 ® 2I ~-l % Permit # a-bYi(-4
Harnett (bounty Department of Public Health
Site Sketch
PROPERTY LOCATON: ~ic~G;gzt~Sat= _
ISSUED TO: Q, ^ 1 L SUBDIVISION G S u,,^ rN LOT # S 1
Authorized State Agent: Wi iv 'TcLKSUG ate: 0~-- ~
,~1r
133 `
E
.A
R
1
36 °x3 ~ 3 3~
C
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated: \
Proposed Facility: 3 Q,Cj~, Q.,Oucti Design Flow (.1949): 3~0 d Property Size:
Location of Site: Property Recorded.
Water Supply: __4Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method-2 Auger Boring ❑ pit ❑ Cut
Type of Wastewat/er: \ Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY OTHER
I .1940 1941
r r PROFILF. FACTnRc
E Position/
# Slope %
S = 1 C~`/~
Depth jj
(in,
O ~~S
1941
Structure/
Texture
1941
Consistence
Mineralo
LJ 1lvQ
.1942
Soil
Wetness/
Color
Soil
Soil
D th IN
lC)-
C' S
L
Description Initial Re air System Other Factors (.1946):
S stem ' Site Classification (.1948): aU~~~(
Available Space .1945) v Evaluated
By:
System Te(s)
Site LTAR Others Present: iq o-,
.1956
Sapro
.1944 Profile
Restr Class
Horiz & LTAR
S+0