IPACHTE# \A-5 ~ Harnett County Department of Public Health
Improvement Permit 26498
A building permit cannot be issued with only an Improvement Permit
c~ PROPERTY LOCATION: T-asas~rz,
ISSUED TO: S 5 N EsaS4 & a z40F. a5 \r4(, SUBDIVISION At NYC ~CZP-r C, LOT # i
NEW1 K REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance: T
Type of Structure: 5';:-7O ( (,::>6 -,-c
Proposed Wastewater System Type: Pu c,,P-Irc3 Q-~"1o ~EQU~S lO cJ
Projected Daily Flow: 3~o GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Xl No
Pump Required: ❑Yes ❑ No ' < May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1K Public ❑ Well Distance from well t O C9 feet Permit valid for X Five years
Permit conditions: 1 ❑ No expiration
Authorized State Agent:: Date: ) ) 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 res 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 Im et 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 T0:~~E-NS d sir ~v Tzps ~~sG PROPERTY LOCATION: C -SFS~- L
SUBDIVISION \,J N-L" y-S Gcioa C• LOT # _
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes , No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** PQ rn P -'o Qr--z.' c s Q W 5 , >w s~ (Initial) Wastewater Flow: 3 a GPD
(See note below, if applicable
~ys'Ir ~-_M (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size ti o O ® gallons Exact length of each trench 3GO feet Trench Spacing: Feet on Center
Pump Tank Size d o0o gallons Trenches shall be installed on contour at a Soil Cover: ( inches
0; N t E-C.) O Maximum Trench Depth of: 1 -Q- 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
Aggregate Depth: inches above pipe
Conditions: V7sNP,t.- I-Pclov 4 _st;icNG.~ .P a rnlNJ inches total
A~= C 'u- Lo F"
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 Si e. Date:
This Construction Authorization is subject to revocation i ite 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 s ' c compliance wit p th ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 31a~ ~aa ; a
Authorization Expiration Date: ' 3 ra'y i 2. t1(I
HTE# 1l-)
ISSUED TO: Sr;
Authorized State Agent:
Permit #
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LOCATON: C Rs~~ ~2 Qj>
SUBDIVISION ,j ct svU' ~.G~ C LOT #
O
Date:
tb"~ /
5 1C
\2 Lvl
`4> 12 6 ~Vic,v 1 0CL _
Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE WAS Code:
TEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: s GfryuJ n rn Design Flow (.1949): 360 3 Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method A Auger Boring ❑ pit ❑ Spring ❑ Other
Type of Wastewater: ❑ Cut
® Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1 .1940
.1941
OTHER
L Landscape
Horizon
PROFILE FAC
E Position/
Depth
1941
1941
.
# Slope %
(In,
Structure/
.
Consistence
Soil
Soil
Wetness/
.1943
Texture
Mineralogy
Color
Soil
D th (IN
.
25„
_
act
cl
are-s S~,r~ c ~ ~ 5 ~ 10~t~. ~ ~ s ~
Up
i
o _4b c
as 36 c-
s 15 a
Description
Initial Repair System
Other Factors (.1946):
A
il
b
S ste
Site Classification (
1948):
va
a
le S ace (.1945)
.
System T e(s)
a .c, 6
LL
Evaluated By:
Site LTAR
~
Others Present: ~r\
.1956 1944 Profile
Sapro Restr Class
Class Horiz & LTAR
f ~ :,;L5
r
5 .k