IPACHTE# ~ i--5 Harnett County Department of Public Health
Improvement Permit
26868
A building permit cannot be issued with only an
Lmprovement Permit
PROPERTY LOCATION: \ ONC?trf7C)g~ ~A
ISSUED TO: Cy m Q;ze<L
,LP~v-sD l\ l 1"J C' G5 ( Ll<
. SUBDIVISION l~P1CL0 ~t Sa S~,~o N~
LOT # a^~
NEW REPAIR ❑
EX SION El
Site Improvements required prior to Construction Autho
rization Issuance:
Type of Structure: 5q<:) xl'
Proposed Wastewater System Type:
`~'yo ~o~tc:,ln~
Sys
Projected Daily flow:
GPD
Number of bedrooms:
Number of Occupants:
max
Basement ❑Yes No
Pump Required: ❑Yes No
❑ May be required based on
final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well
Distance from well LUO feet Permit valid for:
Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: S I )i12., SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the. aaC~c 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 Impro t4 I ermit 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
Reauired 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: Cum<2>GJLg.-nrA0 PlnC4) \ 5< PROPERTY LOCATION: ~d ~oCRo~~ ~p
SUBDIVISION Q KgLoL.l, $S,- ~S^D,5o~5 LOT # aD
Facility Type: SRO ~L- c t"A°'t~ ~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes -4?~ No Basement Fixtures? ❑ Yes AND
Type of Wastewater System** "loo GNU C.> ~ o w S ~tS? (Initial) Wastewater Flow: ~n d GPD
(See note below, if applicable
2-S°l~t '~IEpvc.71 bN S --13 ~ Gm (Repair)
Installation Requirements/Conditions Number of trenches y
Septic Tank Size 1 C7C")C? gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C~ inches
Maximum Trench Depth of: 11-2Q 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 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 speciped is di/ferent from the type specired on the app/ication. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorizati t 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 sugt compliance roti~siions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Cons ' Authorization Expiration Date:
HTE# 1-5'a~O Permit # '44,%('%
Harnett County Department of "ablic Health
Site Sketch
PROPERTY LOCATON: ~o cvo~205{'t
ISSUED T0: C-,i "Q N). 0 ~vNe5 ,zyG _ SUBDIVISION C-~2at ~'t-~5pNS LOT #
Authorized State Agent: JQY, Date: tl e111 -
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Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On-Site Wastewater Section Properly ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L", 13 6CQ0 0 Design Flow (.1949): INO Property Size:
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well ❑ Spring El Other
Evaluation Method: Auger B ring Pit Type of Wastewater: Sewage ❑ Cut
❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
Ls
~
Texture
Mmeralo
Color
VFf,
ao
G
v t
su_
Fn Sske
lo-yr I
Soil
3 o a~ G ~ •
Description Initial Repair System Other Factors (.1946):
Available Space .1945) S ste Site Classification (.1948): VS
S stein T e(s) Evaluated By: Cfi-
Site LTAR Others Present: kl
I
.1940
1941
OTHER
L
Landscape
Horizon
P
ROFILE FAC
E
Position/
Depth
.1941
1941
.1942
#
Slope %
(In.
Structure/
.
Consistence
Soil
Wetness/
.1943
.1956 .1944 Profile
Sapro Restr Class
Class Horiz & LTAR