IPACHTE# `ti-Harnett County Department of Public Health
Imarovement Permit 26660
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Q!) y6i- -N I. .3 NCD
ISSUED TO: S TO s46-t7c 1c 0t55 LL C- SUBDIVISION rz' -vo tf C-. C.-cz o55 LOT # -11 O
NEWX REPAIR ❑ EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Proposed Wastewater System Type: ~u r g N 6 Go sv-t QNS 1 rvN AL
Projected Daily Flow: 3 C7 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNo
Pump Required:>~Ygs ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'K Public ❑ Well Distance from well !O® feet Permit valid for: Five years
Permit conditions ❑ No expiration
Authorized State Agent:: \ 2G`~S Date: -7 i\ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit holder respo Bible 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 Improve o 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: PROPERTY LOCATION: C vVa*-\a6 RZ
SUBDIVISION ~`V o+vF- CC2,os5 LOT # \1b
Facility Type: -A New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** _P_ V•rnp" C-10 r-t'1(11 Ne,ANL- (Initial) Wastewater Flow: GPD
(See note below, if applicable
fn~ ~cL(Repair)
Installation Requirements/Conditions Number of trenches a.
Septic Tank Size t-o® '~Z' gallons Exact length of each trench °1 S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C. inches
Maximum Trench Depth of: ti's 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: CA^ c>.st;o a., sac~t~o~ z- c2t1m ~~~t%s~s ~.SS tia inches total
WATER LINES (INCLUDING 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: /understand the system type specired is different from the type speciped on the app/ication. / accept the specircations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to n 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 sect to compliance~ittj tlsgs ovuot`ns o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~y -x6 Date: l lg
Constr •on Authorization Expiration Date: 1'~ l~
HTE#
Permit # a ~6r o
Harnett County ]Department of ilic Health
Site Sketch
PROPERTY LOCATON: C) Q 1j G-Y) \ LL5
ISSUED TO: S>dNC--ASS t--~--C. SUBDIVISION S-~o,~E Coss LOT # "'0
Authorized State Agent: Date: _ , lUt} 1\
S~X£
a.:NvC
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: I qW;Qq_00 n Design Flow (.1949):'3 bd gPCI
Location of Site: Property Recorded: JJ
Water Supply: ublic❑ Individual ❑ Well
Evaluation Metho2ger Bormg El Pit ❑ Cut
Type of Wastewater: 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
L p
S~~Olc
Q-Z'J~j'
p
~o S
Nh-L
S
sL
Description
Initial
System
Re air System
Other Factors (.1946):
Site Classification (.1948):!
Available Space (.1945)
Evaluated By: ('r
System Ty e(s)
Q J Gtl
P's
Others Present:
Site LTAR
• $
. Co