IPACHTE# k N -5-45tl \ Harnett County Department of Public Health
Imurovement Permit 26400
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M cGCao 1 awct 4~
ISSUED TO: C.u n,ca~c1,~ o,~t0 0 ME..5 SUBDIVISION Trr arty QL~~ LOT # \Z
NEW), REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S ~o C 3"~ 5°\'~
Proposed Wastewater System Type: C-oN4r--A°s\.or`' ~z-
Projected Daily Flow: o 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 -:21, Public ❑ Well Distance from well VC)(:) feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: !?J- -,I XI SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er 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 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
(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: ~v tY,oEn t o,~o ~o c~Gs PROPERTY LOCATION: ~L2o o\ o\ ~.tc_a
SUBDIVISION Gam, PLe*cE LOT # 1$
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~K No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Cd "-4 6- 0 N (Initial) Wastewater Flow: GPD
(See note below, if applicable
i d ~ S~155~r~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size o 0o gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench rl S feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Ll inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: l~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
1 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specifications of this permit.
Owner/Legal Representative Signat Date:
This Construction Authorization is subject to revocation if t I lat, 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 vvkLthe R isms o ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1 T1
Constructil, Authorization Expiration Date:
HTE #
Permit # C>O
arnett County e p artnient of 'Vblic Health.
Site Sketch
PROPERTY LOCATON: (n1 t "iC-- - 9-D
o is UBDIVISION LOT #
ISSUED TO: S
Q-,~15 6uvErt '~oLY~oo Date: 20.1 11
Authorized State Agent:
vo5
I ~.S°(a Q,EDvC,T10ry
511
3~$ x
t ro use
r
6L x-1.0
I
V
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: -7 1 }
Proposed Facility: 3 C2-pen Design Flow (.1949 : -3b o
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Lj, Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Cola
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Re&
Horiz
Profile
Class
& LTAR
6-:~
G1s3,
Vo- -514
P5 5
..J
Description
Initial
S
Repair System
Other Factors (.1946):
Site Classification (
1948): 9
5
Available Space ,1943
.
_
Evaluated B
: c)1\
System Ty~s)
r~ C? rsf
a r t r
y
Others Present:
Site LTAR
S n