IPACHTE# J Harnett County Department of Public Health
Imarovement Permit 26661
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: w E21i ~t fz-D
ISSUED TO: d Atv. SUBDIVISION 9;(z) r4 C- C-(1055 LOT # t►1
NEWX REP R ❑ EXP ION ❑ Site Improvements required prior to Construction Authorization Issuance:
15 2A)
` ~LA, d1
Type of Structure:
its v c'~~ C7a f ~t5 S fst~
Proposed Wastewater System Type: 2L610
Projected Daily Flow: ~O ® GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ><No
Pump Required: ❑Yes 'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10O feet Permit valid for: 3(Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: - - ' '5 Date: `7 E X11 I 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is a 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 Impro went 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: Sr -,,v oscaos5 --f-.~ PROPERTY LOCATION: C yEst~~~1-LS Q. r~
SUBDIVISION S- o,,,6 (a-2-055 LOT # \)N
Facility Type: 5 rs0 (16 7Q- O~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes " No Basement fixtures? ❑ Yes _XNo
Type of Wastewater System** ~,~'10 ~1~y~'OCK-," S ~t s s~~ (Initial) Wastewater Flow: 3413 GPD
(See note below, if applicable
QUl'~R to 2t"a - QGVot,1 S-41 (Repair)
Installation Requirements/Conditions Number of trenches 2)
Septic Tank Size L ® 0d gallons Exact length of each trench 1 feet Trench Spacing: c) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 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: ,'K. p60 Qu ~)Quf9015 AL. '&r \ ~\Q@5 L-.-5-5 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 speciTed on the application. / accept the specircations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject lion 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 skeec_to compliancL-kith t isions*lt tt Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: `1 1 1
Const Authorization Expiration Date: 1 b
HTE# 11-ra-a6°13Q Permit # -"661
ISSUED T0:
Authorized State Agent:
Harnett County Department of Public Health
f
a
a ~
~s
1114 CA-1 /
r
r
D
t
G
30 x
U
a.a3 J-:~
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: Design Flow (.1949): 3 6 d e~ Property Size:
Location of Site: Property Recorded: J
Water Supply: ublic❑ Individual ❑ Well ❑ Spring
Evaluation Metho~A er o ng ❑ Pit ❑ Cut "'K1 e 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
L. }
-1
0 '~'a
G g
Hsi
SF~ s~z,
`F 1 s~ 1
i d
L-5
YC sl N
c ' 8 ?6.
'
5 S&,,e SG,L
~SI ~
Ps i
Description
Initial
System,
Repair System
Other Factors (.1946):
Site Classification (.1948): P 5
Available Space(. 1945)
Evaluated By:
System
e(s)
p~ a.T `
Others Present:
Site LIAR
Lk
A-\
K