IPACHTE# r~ ~5r Harnett County Department of Public Health
Improvement Permit 26452
A building permit cannot be issued with only an Improvement ermit
PROPERTY LOCATION: TN\cao1 -rip
ISSUED TO: C.v m~E2t^A~C~ 1C1o~~£s SUBDIVISION --T s m(;aY,t 9 -pscG LOT # ~O
NEWS, REPAIR ❑ EXR SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S C-' p (ta~c1 x S'
Proposed Wastewater System Type: 25°lo izEoye„-csCT'4
Projected Daily Flow: 3 6 a GPD
Number of bedrooms: 3 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 M Public ❑ Well Distance from well 14 O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \`ta~~® (2 EE~-15 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua 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 Improveme hl 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:
C.yc~~~~t-LaNC+ ~►ocnt,.s
PROPERTY LOCATION:~
I
ctzt~ tvwF.ct
SUBDIVISION
LOT # a0
Facility Type:
New
❑ Expansion ❑ Repair
Basement? ❑ Yes ',T 9, No
Type of Wastewater System**
(See note below if applicable
Basement Fixtures? ❑ Yes -X No
2-~°l0 \2Ctx,e.~VQN (Initial) Wastewater Flow: 36o GPD
Installation Requirements/Conditions
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs. _
Conditions:
S7S7~-M (Repair)
Number of trenches
Exact length of each trench ("tO
Trenches shall be installed on coonnt+qur at a
Maximum Trench Depth of.
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
feet Trench Spacin: - Feet on Center
Soil Cover: sue'-. inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: T 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 app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su ' to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownership of the site. This
Construction Authorization is suQeect to complia -itrlrse,-j~ ' iat\p<the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~`-~►5 Date: 1>
Constr ' n Authorization Expiration Date: a C ~
HTE # \ ) -5-- Nil
Permit # c),(,Li .
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: t" 1,c101,14ISSUED TO: Gu fvsm sv ~O0-ts, SUBDIVISION t `P VP.c LOT #
Authorized State Agent: QL-~s (PL-Nv ECL 'VoL`~o Date:
IBS/
i O w Esz, p~2.1~1
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:
~~11
Proposed Facility: 3 Qom;<zcx) r,- Design Flow (.1949): -3-6 Q
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property H):
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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
25' e
C'...~ G
Vey rtl(
Description
Initial
s stem
Repair System
Other Factors (.1946):
Site Classification (
1948):
Available Space .1943
J
.
Eval
t
d B
System Type(s)
s
vn C•3'
ua
e
y: c
Oth
P
Site
LTAR
S'
ers
resent: g