IPACHTE# Harnett County Department of Public Health
Improvement Permit 26451
A building permit cannot be issued with only an Improvement Permit p
PROPERTY LOCATION: ~c~Rd~owC-_CL C~
ISSUED TO: C~ r~a.ErL ENO \A-Q SUBDIVISION ti + ~+c6N ~cE LOT # 1 cA
NEW K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 55Q (5b >,L\
Proposed Wastewater System Type: 2~~101Eflucc+ a r1 Syg S E~
Projected Daily Flow: l'..-d GPD
Number of bedrooms: > Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes '9!;L No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >1 , Public ❑ Well Distance from well i C~iU feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: V
The issuance of this permit by the Health Department in no way guarantees t uance
site is subject to revocation if the site plan, plat, or the intended use changes. The lm )r
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: A-R\ \ \ SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: C y rv\ aFSa t PROPERTY LOCATION: M s Uto awe-n-
SUBDIVISION i, ~~F,,, PLP,cC LOT #
Facility Type: "5 ~t l~ JI New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" 2°/- a r, S-) s S t; ^ (Initial) Wastewater Flow: GPD
(See note below, if applicable 'i` r,~
~`slo ~EOuc-l \ b t.S N-\ (Repair)
Installation Requirements/Conditions Number of trenches D,
Septic Tank Size 1-CQ<s gallons Exact length of each trench 0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1a inches
Maximum Trench Depth of: 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 speciTcations of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subiecelcr-revocm
Construction Authorization is subjgc ioo compliance
the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when
he s 'OL the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Date:
is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
Authorized State Agent: v C~15 Date: a ~l
Constr 'on Authorization Expiration Date: Q,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: +91 t~
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: L-A 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
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Minamlojcy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
-Depth
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
Lj
57
a~
s
c
~c =s -C
Description
Initial
s
Repair System
Other Factors (.1946):
Site Classification (
1948): Q~
Available Space .1943
.
Evaluated
s stem s
rQ4D
t
Oth
P
t
Site LTAR
, S
:
ers
resen
: p,n
HTE# 11'5 aS~~`~ Permit # aCL15 )
Harnett County Department of IN-tb is earth
Site Sketch
ISSUED TO: C
Authorized State Agent:
PROPERTY LOCATON: I"~~c-cLO~ow~n t9
SUBDIVISION N~`F~ Q►-,E LOT
~Ll~(~SL 4LksOdCES> Date:
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