IPACHTE# `1-a4 Harnett County Department of Public Health
Improvement Permit 26655
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0 0~t_z_S
ISSUED T0: o ,v C,c-St AS L^ L G SUBDIVISION S~ o Ga o5 LOT # 105
_
NEWX REPAIR ❑ EX SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ S~Q ®r X. y
Proposed Wastewater System Type: Q0-0 fie, Z~s °/e ~acJvC~ v,~
Projected Daily Flow: 3 d GPD
Number of bedrooms: 3 Number of Occupants: C:=? max
Basement ❑Yes No-
Pump Requiredes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -k, Public ❑ Well Distance from well ® feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: A~- NN- Date: -1 Y--A, I S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t ante of other permits. The permit holder is res ansible 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 ement 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: c~ c-A Lx 'OsS k--t -G PROPERTY LOCATION: Z) yCyz Y\AU-5
SUBDIVISION S ; u N F, CA? -0-5S LOT # l bS
Facility Type: 12N New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** ~)yC'-R ) b °/o ~Z£Dya5'04 STC^-NN (Initial) Wastewater Flow: ~'7j GPD
(See note below, if applicable n
1 y Zs% ~(Repair)
Installation Requirements/Conditions Number of trenches Q
Septic Tank Size 1 yd'~:' gallons
Pump Tank Size 1 O®C) gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench -1 'S' feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
S`f.
Trench Spacing: Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INtIUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifIcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revvoation 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 subjeocompliance Ws ii o i o of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: RCS Date:
Authorization Expiration Date:
HTE# II °5- aG'Y ~
Permit # `Z C 55
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Q v F i~~~~-1-5
ISSUED TO: CE) S -C- SUBDIVISION LOT #
Authorized State Agent: t~>'6 l9L}v62 ~Ta1- 12~ Date: 7 6 NA 1l
0
SS
a4c,
HTE# Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: - SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ❑.No
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
11, Five years
❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the health Department in no way guarantees the issuance 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 T0: PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 rpecijed 1s different from the type speciled on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
ims consnucuon Authorization is subject to revocation it 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 subjectto compliance w4h.t_he provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit, SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date:
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 c24can Design Flow (.1949): 3
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method;Q:~'AuRe r Boring ❑ Pit ❑ Cut
Type of Wastewater: -12( Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
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
VVV L'414 Q
V 1~
j
2
O~ N.
~ sL
V~ ~N
Description
Initial
S st m
Re air System
Other Factors (.1946):
Site Classification (.1948): B
Available Space (.1945)
Evaluated By:
System Ty e(s)
t> ~JIh9
Others Present:
N
Site LTAR
<10
,
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