IPACHTE# V1Harnett County Department of Public Health
Improvement Permit 26469
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: . A2~ C?rrES SUBDIVISION C.Ara-oi" ®p~u LOT #
NEW X REPAIR ❑ E5FANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SVQ ~y5
Proposed Wastewater System Type: Qo r4-4 6,.M \ o N R N1-
Projected Daily Flow: "'3rco0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ~XNo
Pump Required: ❑Yes >rblo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community , Public ❑ Well Distance from well )t_00 feet Permit valid tor: five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: N } SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc her permits. The permit holder is re onsible 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 Improvemen rmit shall not he 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: , I-L - C M me- ~oN\~,S PROPERTY LOCATION:
SUBDIVISION Q P'Q20Ll LOT # \L)_
Facility TVDe: `J ~t=1S Ja- New F-1 Fxnnncinn n Rpnnir
Basement? ❑ Yes ~ No Basement Fixtures? ❑ Yes A No
Type of Wastewater System" CoN,fE.'r.s~orrtxt (Initial) Wastewater Flow: 'ICJ GPD
(See note below, if applicable
,oN,1t;s"ri 0 N P1% _ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 10 ® Q gallons Exact length of each trench 5 O feet Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: So inches
Maim= 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 (IN(LUDING IRRIGATION) MUST BE IOFT. 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 specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca he 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 subct t~compliance with tlZe prove ~tR.ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constructio uthorization Expiration Date: _
HTE# Permit # r-)Pu6
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: ~-1 CL ~a2 rn~S SUBDIVISION G aswL~ t~ C~ P.s LOT # l~
Authorized State Agent:~SoL1vc "toLl~sfJo( Date:
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Department of Em mnment, Health and Natural Resources
Sheet:
Sheet:
Division of Environmental Health
ID: Prop
erty
On-Site Wastewater Section
Lot
SOILJSTTE EVALUATION
File 11:
Code:
for ON-SITE WASTEWATER SYSTEM=
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: 3 &6mlom, Design Flow ( 1949): 3xc)
Property Size:
Location of Sits: Property Recorded:
Water Suppl"p Public ❑ Individual ❑ Well
❑ Spring ❑ Other
Evaluation Method: .-aAuger Boring ❑ Pk
Type of Wastewater
S
❑ I
c*
.
ewage
ndustrial Process
1tifud.
P
R
O
F SOIL MORPHOLOGY
OTHEIt
1 .1940 .1941
L Landscape Harizue
PROFII.B FACTORS
.1944
9 Posiflow Depth .1941 .1941 Soil
elope % (1n) Structlow Conabtenee wetness!
Sao .1
Sa
.1941 Pbtllti
Texhas Minsak Color
$eRpr° e
IN• Ctase
HaRestr sis. LTAir
i cf a'~~ Q 1 `1 G 5 i n P
i`13~. ~k V~~ 6=rL ss,~
PS
s
C~°~ G JZ, V~rl iV~~ VIA
c] i-t
3~
e-
site Classification (.1948X
Evaluated ByjJ'S
Others preme