IPACHTE# \1Harnett County Department of Public Health
Improvement Permit 2 6 4 5 8
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I"1~ct,~'pwG2 Q~
ISSUED TO: C..v fn16es'b 4Q" o C1 trES SUBDIVISION "TS"NG ~,.t Qy ~,L LOT # 3~.
NEW REPAIR ❑ EXP.A~SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5 F9 t35 Kam"
Proposed Wastewater System Type: Q-57oaVG~ rJ y5 H.
Projected Daily Flow: 3G~ GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes El No Allay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well VOC' feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Q-~c`s'~5 Date: a- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua a~of other permits. The permit holde 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 Improve 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, .1954, .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 TO: C. yf2>C2t P.~4D ~ocrE s PROPERTY LOCATION:
M •
c~cz o~1 owl R.D
SUBDIVISION ~ N6Lrty
-~c:C LOT #
Facility Type:
A New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement
Fixtures? ❑ Yes X No
Type of Wastewater System**
C"S^ QC~ 0 Sy V am
(Initial) Wastewater flow: 3~-Q GPD
(See note below, if applicable
~CopvGC1ON S`1SSEM (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size 1 OdC> gallons
Exact length of each trench 1$a
feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: G°~a inches
Maximum Trench Depth of: V% _3-~
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:
Aggregate Depth: inches above pipe
C
Q
s
y,
i
D 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. / accept the .specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject ta-axLcatiion if the site4an, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershia of the site. This
Construction Authorization i~SUbf~c' to complian !s thth t Sion the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ~1- IN
Con uction Authorization Expiration Date: D
HTE# L 1 5"aS~12-AA Permit # a C~til S`~
Harnett County Department of Pub lie Health
Site Sketch
PROPERTY LOCATON: M lt,ra.c, l oti.rr~
ISSUED T0: C.v m~ 62ti- Mks SUBDIVISION __T~N 6E.N P Act LOT # 3a
Date: { `1t
1C_ ,
IT
2~P,~ ~n n,~~ I
1
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I t,c~ Y , s G1,gA~-0 {
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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: 3 _1,G3DxZ ec`1 f' Design Flow (.1949): 3-4C~
Location of Site: Property Recorded:
Water Supply: 'ublic❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
SOIL MORPHOLOGY
.1941
OTHER
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
10-W
s*
•gJ' vl
2i
`~3
tL Ss~
F5 I-)
!:J5
5
V ~tVj~V~
7
Description
Initial
Systeii~
epajrtem
actors (.1946):
Ot
her
ication (.1948): Q S
Available Space (.1945)
k
:
Evaluated By:
System T e(s)
'Mg
~
thers Present:
Site LTAR
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