IPACHTE# Harnett County Department of Public Health
Imurovement Permit 26392
A building permit cannot be issued with only an Improvement Permit
` PROPERTY LOCATION: )iINGE.'t '~-D
ISSUED T0: n v y~,ca t- \~c9M~5 SUBDIVISION -00' 9"-"' C LOT #
NEW`5~ REPAIR ❑ lEXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sle Ck
Proposed Wastewater System Type: a5% V-5-5DUL \CTvA Syss6cr,
Projected Daily Flow: 3G <n GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes V~No
Pump Required: ❑Yes ❑ No `I May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community `K Public ❑ Well Distance from well 10 co feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: `~-N~l \ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance tther 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 Improvement 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 TO: 1a..-~-. PROPERTY LOCATION: o G6~t P-D
SUBDIVISION Sw'sgtVS F®, LOT #
Facility Type: 5 ~5~ ~S3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Base
Type of Wastewater System** as-"1®
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size 1(f:> C) c3 gallons
Pump Tank Size 1 or.) ® gallons
Tient Fixtures? ❑ Yes ~<No
aUG'ssonf Sys~~ (Initial) Wastewater Flow:' GPD
Cev~e~
~f~JvG.S osl Sys; ~m (Repair)
Number of trenches 5
Exact length of each trench a6® feet Trench Spacing: "S Feet on Center
Trenches shall be installed on contour at a Soil Cover: ! inches
Maximum Trench Depth of: 'a;t-T 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
Conditions:
Aggregate Depth:
inches below pipe
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: / understand the system type specified is different from the type specified on the application. / accept the specircations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject tion 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 subctt to compliance wiQffia isio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:.
ction Authorization Expiration Date: QL
HTE # Permit # G3°t~
Harnett County )ehartment of I'Vblic Health
Site Sketch
PROPERTY LOCATON: 1 c-,6c- s P,p
ISSUED TO: 5zti. ~c ors SUBDIVISION Pa--iorAS Pc~», LOT# 30
Authorized State Agent: R~~'S WL+ac~z 'sovxsnor~ Date:
1bb.
1'50
5 -C Pti N`< 'Se-e P,L Le,W Z a
e,460-; ? w"v? Ncc-D&JD
~--OCL REFD Na-.
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health property ID:
On-Site Wastewater Section Lot 0:
File
SOILJSITE EVALUATION Code:
for ON-SITE WASTEWATERSYSTEMz
Owner.
Applicant:
Address:
Date Evaluated:
Proposed Facility:
3 ~ 3
5 Design Flow (.1949): - co Y
p
r► Size:
Location of Sits
Froperty Recorded:
WatttSnpp[y
Public ❑ Individual ❑ Well
❑ Spring ❑ Other
Evaluadon Method:
❑ Auger Boring pit cut
Type of Wastewater.
Sewage ❑ Wustrial Process Mixed
P
R
0
F
SOIL 1MORPHOL00Y
OTHER
1
L
.1940
Lmxb=pa
Hausa
.1941
PROFI[ B FACTOR
E
M
Powdew
Slope %
Depot
(IM)
.1942
.1941 .1941 Soil
St
d
.1043 .1956 1944
Protlltl
ruaptr
Consistence weamd
Timm Miwnlo Color
Soil Sapro Re*
t1V
Cl
C1aaM
,
an Harts.
ALTAR
-1~io
V v
C,
\IV1. x,j)
1C?
Ss.J Y GL ,
G
C 5 ~sj)t'
5,)
3
Dasmpdoo
~
ROther Factors I A6k
Avai1a61e 9 ap ,1945
s et
Evaluated Hy: c,
Site LTA
Others Piewnt: