IPACHTE# 1 `-5-as5-,o Harnett County Department of Public Health
Improvement Permit 2 6 3 9 8
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: ~c+c~tOC~.LL CiycLINtTsc- Whf,~LT~rL SUBDIVISION LOT # a.N
NEWX REPAIR ❑ -XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 57-0 Proposed Wastewater System Type: pU~x`Tn°l~ ~Eoucaor,I
Projected Daily Flow: "tC) GPD
Number of bedrooms: 'A Number of Occupants: max
Basement ❑Yes X No
Pump Required:`14es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ';A Public ❑ Well Distance from well VC70 feet Permit valid for: XFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: Yh)l 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the r ce of other permits. The permit holder i resl nsible 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 Imp ent 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, .1 9S4, .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: ~?-wnoc~rz. `t CHa~.S~ E ~l~CEtG2 PROPERTY LOCATION: 0011s oCIA (Lb
Facility Type: `3E0 n5y / X New
Basement? ❑ Yes X, No
Type of Wastewater System**
(See note below if a licable-k)
Basement Fixtures? ❑ Yes
a s°ld ~Ea(-rN n tv
SUBDIVISION LOT #
❑ Expansion ❑ Repair
No
Sy5-c~M U V Mf) (Initial) Wastewater Flow: y$~ GPD
PP
aS°)/o 422Loyc.: s d,v Q? u mPJ (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size \.c~, ®o gallons Exact length of each trench $6 feet
Pump Tank Size \-do ® gallons Trenches shall be installed on contour at a
Maximum Trench Depth of- Nl' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: 'v N oa- Qom s N Ez-o ~~1G t >S \ o g G E2~F Ea ~F : GfL.
\ s Cl 1&Nzr >
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: I understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Sign re: Date:
This Construction Authorization is subject to revocation i site Ian, 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 subject to compliance`ith tkepro-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: a18
Authorization Expiration Date: 6- 16
HTE# tI-- - -j -r-9--7 C)
Permit # 1"T1
Harnett (bounty Department of - hihlic ealth
Site Sketch
PROPERTY I.OCATON- 0 gan-0C>-, 'Qz
ISSI
Aui
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILJSITE EVALUATION
for ON-SITE WASTEWATEIiESYSTEM2
Owner Applicant:
Address: Date Evaluated: a h) 1
Proposed Facility:' Design Flog (.1949):
Location of Site: Property Recorded:
Sheet:
Property ID:
Lot
File t1:
Code:
Property Size:
Watet Supplit; Public ❑ Lidividual ❑ Well ❑ Spring
Evaluation Method: Auger Boring ❑ Pit Cat
Type of Wastewater: Sewage ❑ Industrial Process Mixed.
❑ Other
P
R
O
F
SOUL MORPHOLOGY OTHER
1
.1940
.1941 PROFILE FACTOR3
L
LarAbcaps
Horizon
.1941
9
Position/
slope %
Depth
)
(In
.1941 .1941 soil .1$43 .1956 .1941 Prome
st
"
.
ud
Considem wetnnd sod sapre Re* Ciaw
Tamwe Miaaralo Color
IN. Class Hobs. ALTAR
1
Ir,ln r,21' 77
J
jo-
k;X-41:1 r3 ` p q ]'a
~
'
DA-3d ~r- t-/
5
U >d`,
~o
C) G
-59 c,,_ Fri
-3z 5 vfM
Desaipdao
b did Repair system Other Factors (.1946k
Available s acs .1945
Sit9 ClM fflcadon (.194ak
s stern
Evaluated Br o/
site L'Alt
Others Prexnt: