IPACHTE# 01-s-'X OLj~ Harnett County Department of Public Health
Improvement Permit 26666
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: FNoexLa$f", Q..p
ISSUED TO: Cu rf-1 _~vQ \-ko 'IL 0 C- SUBDIVISION C Acz o L„.s S t--s:~d - 5 LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'Ffl ~ 6S 'A IAL
Proposed Wastewater System Type: Cat r~~~-~~~N t~L~
Projected Daily flow: 3~ ® GPD
Number of bedrooms: Number of Occupants: ~o max
Basement ❑Yes >~No
Pump Required: ❑Yes KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -:K Public ❑ Well Distance from well 1 d O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: "11 a> 1' t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance r r 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 ermit 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: CV i---%3LCtL-~"v0 \A0F\r--'5 PROPERTY LOCATION: ~0 r4 5) 6o,t55-*+ 9-D
SUBDIVISION Ctx+.o~->N fb. Ssxk5o r,S LOT # -1 C)_
Facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes -X No
Type of Wastewater System** C0N-Vr.r r;N ON pct.. (Initial) Wastewater Flow: O _ GPD
(See note below, if applicable
C.cacv-~tr.c~ 5~ a sv P, (Renair)
Installation Requirements/Conditions
Septic Tank Size \a a 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches a
Exact length of each trench t S feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: QLLA inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: I inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
G inches below pipe
inches above pipe
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 subject to revocatio a site plan, la( 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 stdcompliance w he p of the ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: y Date: `7 »
Const ' Authorization Expiration Date:
HTE# i 1-S--`1.4Wi
Permit # Q"6G G
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: POc~ Q620 5
o Met L SUBDIVISION trap i, ,i N ~C~Sd A 5 LOT #
QI
Ct.c--v-,S t)o qtL, -CoLzt;vp Date: -1 ,at') tl
P
L
NN*0qoC- C-1
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 a~3, n Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:C Public❑ Individual ❑ Well
Evaluation Metho Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ 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
Lr ~
p
Description
Initial
System/
Repair System
Other Factors (.1946):
Site Classification (.1948):5
Available Space(. 1945)
Evaluated By: C1C
System Ty e(s)
G~
ce' j,
Others Present:
Site LTAR
. (r
i