IPACHTE# Harnett County Department of Public Health
Imurovement Permit 26457
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N1~cal \owEcz,-?41
ISSUED TO: C1U Me'U(-LPNC-A0 ' ®ms..5 SUBDIVISION r+GEw 1-Pc£ LOT #
NEW„ REPAIR ❑ EXPSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -D ~=Q (66'-` Proposed Wastewater System Type: 2 SSf'~6 Q.CLkc:C~dsJ Jsm
Projected Daily Flow: 3GQ GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XI No
Pump Required: ❑Yes ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent::` Date: 1 ~1 1 \ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the 'e of other permits. The permit holder is responsi le 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, .1957, .1958. and .1959 are incorporated by references i
nto this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: C.v mQ 1-5~, ~\Ok'n 5 PROPERTY LOCATION:
SUBDIVISION tNGEt-,)
LOT # a5
Facility Type: 5~~7 ~53 x5c'►~ x New ❑ Expansion ❑ Repair
Basement? ❑ Yes ` No Basement Fixtures? ❑ Yes No
Type of Wastewater System** -g G'-i 5 l 1^M
(Initial) Wastewater Flow: GPD
(See note below, if applicable
QEot,c (a o Sys C 1;, rc~ (Repair)
Installation Requirements/Conditions Number of trenches ti
Septic Tank Size loo t5 gallons Exact length of each trench )t® feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: W °a~ 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
inches below pipe
Conditions: Asc N5\aD ~F i> r2, Las ~s C-1 rP
Aggregate Depth: inches above pipe
QLP 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 speciped is different from the type specified on the application. /accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocati i to 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 subject to compliance wjtth they f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: Q' °S
struction Authorization Expiration Date: ! 14-
HTE# Permit # a6 5-1
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LOCATON: M, werZ R.
ISSUED TO: ~~rnc3Er7, Q 0M ;s SUBDIVISION TNrse^ I-Kc-- LOT # a°1
Authorized State Agent: Date:
100
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v~ ~ ~ 6tr ~2~.,ns
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i
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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:
}
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual F1 Well
Evaluation Method: Auger Boring E3 Pit ❑
Type of Wastewater: 1,:Z2 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
ld
C? .)-G
Description
Initial
System(
Repair System
Other Factors (.1946):
Site Classification (
1948): Pj
Available Space 1945)
IV
.
Evaluated B
M
'S
System s
6'10
1
S
Others Present: (
Site LTAR
2iM