IPACHTE# A Harnett County Department of Public Health
Imurovement Permit 26465
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: V
ISSUED TO: JXCZfl U v t-O S f--1-C-- SUBDIVISION osz,9 LOT # $ t 3
NEWX REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '=;'1F0 Proposed Wastewater System Type: C.o"N E-4-N
Projected Daily Flow: 3Gd GPD
Number of bedrooms: 3 Number of Occupants: C)____ max
Basement ❑Yes No
Pump Required: ❑Yes e)n o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10 feet Permit valid for: XIFive years
Permit conditions: ❑ 11o expiration
Authorized State Agent:: Date: ~\a~4ll 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 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 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, .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: o-4 Pcw PIZ, u%L-OUst-S t--1-C, PROPERTY LOCATION: h2~ ~57
f SUBDIVISION N\ Sl-,G'ir ocW LOT # 8
Facility Type: 5F0 "5T New ❑ Expansion ❑ Repair
Basement? ❑ Yes :P!r,\No Basement Fixtures? ❑ Yes "'56 No
Type of Wastewater System** C10 N--4 E+s\~ 0N NL (Initial) Wastewater Flow: GIRD
(See note below, if applicable
Goc.r,J E.tSS Ld tV P• t-- (Repair)
Installation Requirements/Conditions Number of trenches Q..
Septic Tank Size L® ® O gallons Exact length of each trench f- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ~-4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: \a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
\ 3. 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 speciped on the application. /accept the apeci6~ationa of this permit.
Owner/Legal Representative Signature: Date:
[his Construction Authorization is subject to revocation if the 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 sub ea to complian the provisi ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Jtt AI IALIMLI 3I111: )I ILH
Authorized State Agent: P~ H 5 Date: a) QZA
ruction Authorization Expiration Date: 1~
HTE# Q } Permit # ;,QA V.
Harnett County Department of 1"ublic Health
Site Sketch
PROPERTY LOCATON:P,2c-5
ISSUED TO: SUBDIVISION AEE0sLp LOT #
Authorized State Agent: Q1~~~+~ov o t~~S cif Date:
i
10
~Jy N N G K £ qtw to
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOQJSIiTE EVALUATION
for ON-SITE WASTEWATER SYSTEM,
Sheet:
Property ID:
Lot 0:
File ll:
Code:
Owner. Applicant: 1
Address: Date Evaluated: - 1>
Proposal Facility: Q Cu,~! Design Flow (.19491: 4~
Location of Site: Property Recorded:
Watet Supply: Public; ❑ Individual ❑ Well
Evaluation Method: -0''. Auger Boring ❑ Pill ❑
Type of Wastewater: EVSewage ❑ Industrial Process ❑
Property Size:
❑ Spring ❑ Other
cut
1Nxed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFR3 FAG"iOR3
E
4
es
Ppositled
Slope %
Hatizan
Depth
(IL)
.1941
Slraaptrra/
Texture
.1941
Corwalem
Miarnio
.1942
Soil
welted
Color
1943 .1956
soil Sapre
!N. Clap
.1941
Reatr
Horis.
pmfih
cha!
R LIAR
.'5
VlF '15~r
5 -8
3b
G
Ls
vxn ~.t> ~ ~
VVttl h7Jt Ajp
y
~-G
Site Classification (.1948X :5
Evaluated B)r ~a S
Others Present:
-L )Iq S'~ a2a"