IPACHTE# 11-~J'~la3a, Harnett County Department of Public Health
Im rovement Permit 2 6 6 8 3
P
A building permit cannot be issued with only an Improvement Permit
` PROPERTY LOCATION: HWY 12lcl
ISSUED TO: N -`1Mr+ CC-415r:Q1\)C;" NN00 SUBDIVISION -7iraGE-t QQ I- LOT # 1
NEWX REPAIR ❑ E J NSION El
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '6F Q.-0 x G o
Proposed Wastewater System Type: o 9-r--v ft r' SY~ , [ M
Projected Daily Flow: 3~Q GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes "KNo
Pump Required: ❑Yes '~<No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well t00 feet Permit valid for: Five years
Permit conditions: 7----,- c~ ❑ No expiration
Authorized State Agent: \ ,may G`i 5 Date: '1911, N01 \ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issi a other permits. The permit holde 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 Improve 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, .1957, .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: W 1r-v s--f C-Vst5-SCZV G; %dtJ PROPERTY LOCATION: Wt,^) WD
SUBDIVISION c+N r F- LOT #
facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes -_9 No Basement Fixtures? ❑ Yes -'WNo
Type of Wastewater System** ~.S X10 P't<o U C " 0 )v ~5 C--rr* (Initial) Wastewater Flow: 340 GPD
(See note below, if applicable
a.,5 Z,d QGO, S-tg `QV PJ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 10 (7 0 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. V1 a~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: ~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: I 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 revoca a ' 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 suhjeto`ompliance`ithe pro " f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: '?)W >
Co action Authorization Expiration Date: a S G
HTE# Permit #
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: Ww`1 2C)
- SUBDIVISION \ INAG G" 'Pa- r4-Ty- LOT #
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Harnett County Department of Public Health
Site Sketch
\14
v
z
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): F (13 p Property Size:
Location of Site: > Property Recorded: J\
Water Supply: Public[_] Individual ❑ Well ❑ Spring
Evaluation Method er Boring ❑ Pit ❑ Cut
Type of Wastewater' ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
I
L
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Crlor
.1943
Soil
De th IN.)
.1956 .1944
Sapro Restr
Class Iloriz
Profile
Class
& LTAR
v~
\(--144rq
zz~
Description
I
Repair System
Other Factors (.1946):
Site Classification (.1948):Ps
Available Space (.1945)
Evaluated B
:
'
System Type(s)
2 r "jc
QVM ~S
y
4
Others Present
Site LTAR
j
: