IPACHTE# 01-5- Harnett County Department of Public Health
Improvement Permit 2 6 6 6 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: OyE=2~lu.S
ISSUED T0: ~`rd --4 c LAG SUBDIVISION S-s o N6t os 5 LOT # 1
NEW REPAIR I] _ Er ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S ''Q U-3 C r
Proposed Wastewater System T pe: q-CAvcn LnT,t
Projected Daily Flow: 3® GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes '4 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~K Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 1 \5 Date: '1 01 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ' ce of other permits. The permit holder is respo sible 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: S "s aNc. Ccl-o°sS L--L- G
PROPERTY LOCATION: QV ~i1t~5 94
SUBDIVISION 5-~r- - r-- - - LOT If
S='L
Facility Type: 5 ~p ('3 C X New El Expansion El Repair
Basement? ❑ Yes ->~L No Basement Fixtures? ❑ Yes No
Type of Wastewater System** a.S°lo (-EU v 5-;'' ~ Is N 5 5-~ t n (Initial) Wastewater Flow: 3F,0 GPD
(See note below, if applicable
(?,C.ouc.-\lnty ~~ys-~[,..rrt (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 1 ® In U gallons Exact length of each trench IS- 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. 1 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: QEstt~.SE^® C~,.a P o5~t ~C~cJr~ ~peLOC,~,~►~~ ~-S5 inches total
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: l 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 tQrevocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the sire This
Construction Authorization is sukkoo compliance e provisi8u,of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~•J HS Date:
l~
Co tion Authorization Expiration Date:
HTE#
Permit #
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
S
LIL C_
PROPERTY LOCATON: O,4erL-"~",t-LS (Zo
SUBDIVISION ~^sosvE C;"s> LOT #
>lQ l.~yc~ `ICl1 ~CS~JG(&} Date: _
Authorized State Agent:
C. 1-4>+T a
O WN-4
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 C:WUOW6 Design Flow (.1949): 3Co Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual [I Well El Spring
Evaluation Method ~u er Boring El Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process ❑ Mixed
❑ Other
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
LS
'
0-YD
s L_
14P, ~
O.
C7
G 5
S Y
Description
Initial
S st m
Re air System
Other Factors (.1946):
Site Classification (.1948)11
Available Space (.1945)
Evaluated By: 4b-(
Systean Ty e(s)
°Lo-
Others Present-
Site LTAR
1
d-~
y,, 0