IPACHTE# l1--~-~71 Harnett County Department of Public Health
Improvement Permit 26677
A building permit cannot be issued with only a" n Improvement Permit
PROPERTY LOCATION: 4 s ss G6 '9Z
ISSUED T0: G L -t.AcL~- C' 5 SUBDIVISION 9 Pc5S o 1JS a. ~J-N LOT # 15
NEWX REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '51;F Q (L,( xS-0fl
Proposed Wastewater System Type: ` Ajtr P•GOVt'S-1\ ai-j 575'~C;K,
Projected Daily Flow: C) GPD
Number of bedrooms: Number of Occupants: Q, max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ~1ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \PQ feet Permit valid for: Five years
Permit conditions- ❑ No expiration
Authorized State Agent:: yam.`r~S Date: 1 l SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit holder is r ponsible 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 Improvemen it 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
Reouired 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: j~- PROPERTY LOCATION:--TiNc.E.,,~ D
SUBDIVISION ~P.s~,~5da5 LOT # 35
Facility Type: `3'F(D CuC ""SG) YS New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** rr3.E~°~o 9-cZ)VC5-,o w (Initial) Wastewater Flow: 3c ® GPD
(See note below, if applicable I
_
D
o G/,o C-C~d~J (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: 'Pg r~-M L ~ Y S~ EcY, --.PS`I o G2C ~s CD ~~i £2 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. I accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su cation if the site p t, 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 'kwl ect*Q'Compliance s " of the and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 'S ) 3
orization Expiration Date:
HTE # N) - 5-Q~ Permit # C6
Harnett County Department o Public Health
Site Sketch
PROPERTY LOCATON: I
ISSUED T0: N\fE SUBDIVISION VP>i>U N~s Qg-\ tjS LOT # 3J
Authorized State Agent: ~ wFIL ► ®Ln°C1~ Date: T
i
ISO
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 9SD4JVQ"\ Design Flow (.1949): 34
Q
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method: El Auger Boring ❑ 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
S ~alr
0.30
s L
Y~'l ^►S t'~
o-~i
9aw'S6i
d
G S L
1
1~2 N l
a> ~,1
Z5,
Description
Initial
Systerp-
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space (.1945)
Evaluated By:
System T e(s)
J%
b
Others Present:
Site LTAR
, 3s6 `zs-