IPACHTE# \ ~ 5-ate N3 \ Harnett County Department of Public Health
Improvement Permit 2 6 6 7 9
A building permit cannot be issued with only an Improvement T-ermit
` t PROPERTY LOCATION: coc.'
ISSUED TO: W `INet CO evg-t2U tj SUBDIVISION --I- f~L Ct>pG~ LOT #
NEW REPAIR ❑ EXPA N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5vo '
Proposed Wastewater System Type: 2 S°Lo n U c-n V rJ yS~~to
Projected Daily Flow: 4'150 GPD
Number of bedrooms: L-) Number of Occupants: max
Basement ❑Yes o
Pump Required: ❑Yes ~No ❑ May be required based on final location and elevations off, facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t
- feet Permit valid for: Five years
Permit conditions: ` ❑ No expiration
Authorized State Agent:: y,, Q ~rS Date: 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan ther 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 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: ~ N N Co2,1J rAIC des 14 PROPERTY LOCATION: ~ocfa
SUBDIVISION G - LOT #
Facility Type: -T5< New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~X No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** d•5°~, 9.tO UC.7tC1,J S y5-: (Initial) Wastewater Flow: L- a0 GPD
(See note below, if applicable
RV--avr-~ " n,N S D 6S`n(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1 O ® G gallons Exact length of each trench Z~ Q feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacin :_g9 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
Conditions: S EE. t-oC-;hllt N6 v Q 5 ~ cE S C:A inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 speciTed is different from the type speciTed an the app/ication. /accept the speciTcztions of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is uN ct to revocation if the site plan, plat, or the intended use changes. The Construction
Construction Authorization is sub' ct compliance esions of thews and Rules for Sewage Treatment and Di
Date:
rization shall not be transferred when there is a change in ownership of the site. This
and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Cons ~TnAuthorizatfiion Expiration Date:
HTE# 1 l° S--DD Q 1 Permit # `Z6 6 5
Harnett County Department of iblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LO(ATON: 0 c, C's ?-.D
SUBDIVISION iczQTC26 IR.;N oGE LOT # J_
6 Lo U Ve- - Date: I S~ 1
13-3 >
\A 0 C?-s c-- W N\se~2 c-~2-- 1-O
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: L-,$9)Ro0 r-r Design Flow (.1949): t) .2~ Property Size:
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well ❑ Spring
Evaluation Method; Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: - Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
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
*Y- sGL-
J ✓ ~~7
L-5
V5,77-1 1~ I
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): P
Available Space (.1945)
✓
Evaluated By: (j S
System Ty e(s)
Others Present:
Site LTAR
S