IPACHTE# Harnett County Department of Public Health
hDrovement Permit 2 6 6 8 6
A building permit cannot be issued with only an Improvements Permit
PROPERTY LOCATION: DOGS VIZ
ISSUED TO: yNtJ Cy >4 IJfs:~0 sS SUBDIVISION ~TtiASSE~~ Q,-UC.£ LOT # -Cvs-
NEWX REPAIR ❑ nANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF0 (r., Proposed Wastewater System Type: c343/0 o vC7f ~ N Sys ;fin ,
Projected Daily Flow: Z"-l Q GPD
Number of bedrooms: t} Number of Occupants: max
Basement ❑Yes `~No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for: Xive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees s lance of other permits. The permit holde is res nsible 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. Theprovement 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: W`I~s Cy N5 ; ~,UC a g PROPERTY LOCATION: zn<G6
SUBDIVISION a6-71 FZ2~' LOT
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes - LS, No Basement Fixtures? ❑Yes XNo
Type of Wastewater System** e4 at ~ 0 tv - ' j-(\ (Initial) Wastewater Flow: L-V O GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches '?2_
Septic Tank Size Lb g7 gallons Exact length of each trench Q feet Trench Spacing: '91_ 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 +/-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature:
This Construction Authorization issuhjgt to revocation if the site
Construction Authorization is subject to comphl ith the
Authorized State Agent:
Date:
plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: ls10 1\
Authorization Expiration Date: "e I _K 1-~
HTE# 1 A Permit # --1-C C~~o
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: QOCIS
ISSUED TO: s~ct.vC~ SON SUBDIVISION \Q67Sa4 Z;vocE LOT #
Authorized State Agent: -~'S 1-1 2° "o t-` G Date: ~,1 v\
1aS
woa,-, E `AYA ,~se-5,QF-22 I- rj
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: L\Q~6_:cam r-r~ Design Flow (.1949): t \
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Bo ing ❑ Pit ❑ Cut
Type of Wastewater: '~r 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
L~
4mo W,
L 5-
Description
Initial
Systeur'
-
Repair System
Other Factors (.1946):
Site Classification (.1948):QV3
Available Space(. 1945)
V
V
Evaluated By:
System Ty e(s)
Others Present:
Site LTAR
41