IPACHTE# Harnett County Department of Public Health
Improvement Permit 26576
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATIO : H,7- ~.5
ISSUED TO: ~oc1'it'wF.ct e s Z) Qkk:' ' \Nos-, ES SUBDIVISION SV\G.z LOT # 13
NEW REPAIR 'fAPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:Q C ~O xL~
Proposed Wastewater System Type: P y M ig 'T o Co :4-4 6-P4i ~erN;,,L
Projected Daily Flow: 3~0 GPD
Number of bedrooms- 3 Number of Occupants: max
Basement ❑Yes No
Pump RequireYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well X-0® feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 5 ~ N ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er 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 Improvement 't 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: .S6 Wyl-E tLKt \koMNu PROPERTY LOCATION:
SUBDIVISION dcr c~ LOT # 13
Facilitv TVDe: Gs-~ '~y 61 New ❑ Exnansion ❑ ReDair
Basement? ❑ Yes :4~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** ~UMQ. ~ o (2-0-tJ\1 CJ N,b, L, (Initial) Wastewater Flow: GPD
(See note below, if applicable
V.t~~4 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1®C7 o gallons
Pump Tank Size X,®d 6 gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench [ S
Trenches shall be installed on contour at a
Maximum Trench Depth of: `a-L)
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: "la ~ inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
1 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 specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subjects Yevocatiet the site pla La he intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization .is t to compliancehe pry the sand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construc ' uthorization Expiration Date:
HTE# i 1 5 - a6`~l3-`1 Permit # 5 (Z'
Harnett County ]Department of iblic Health
Site Sketch
PROPERTY LOCATON: 'n
ISSUED TO: o f u l SUBDIVISION IN-5-,N Z~y oQQ LOT #
Authorized State Agent - 5 ~CfL1V~✓L soL~aRS Date: r ~3
1 >1
fv1 5 4D
ea'
Q/
L- ®G1LC`tJ 0 on F'ti
Department of Ew imnmenk Health and Natural Resources Sheet;
Division of Environmental Health
On-Site Wastewater Section p'r'operty 1D:
Lot
SOII./STTE EVALUATION File M:
for ON-SITE WASTEWATER SYSTEhh Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 Design Flow (.1949): Properhr Size:
Lacado>tof 9iter PropertyRecorded:
Water $u 0 irxNdual ❑ Well Evaluation Method: - Auger Boring ❑ Pit ❑ Spd°8 ❑ Other
Type of Wastewater: ❑ . e`
S. ge ❑ industrial Process Mlxer! .
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941
L p Harizoa PROFILE FACTORS
9 Posidod Depot .1941 .1941 311
N 91ope 7i (110 3trucwn► Cormid a Welned ou .1916 .1944 PFottltl
Texture mini 10 Color 5 IM CIA= Re* am
Hans. tYLTA1t
f~.,9;.
u < z \Yv L T
Site ClassiBcadou (,1948X
Evslwted By: ~,N
Odors Preme