IPACHTE# I Harnett County Department of Public Health
Improvement Permit 2 6 6 9 3
A building permit cannot be issued with only an Improvement Permit
~ PROPERTY LOCATION:
ISSUED TO: CPcz~) -Oa\~lsdsv i\~Gtr% f-5 SUBDIVISION G,,,&i , LOT #
NEWX REPAIR ❑ _ -XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:`=>`~ `L'N- i- 'i
Proposed Wastewater System Type: Qo mfyo ~5°l0 ` m- Lycr, s p~13
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ,KNo
Pump Requirep-IRZYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t 1Z) 0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: v 91-w Date: X115-1 A ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guara tees th + nce of other permits. The permit holler 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 Im vement 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.
pp
ISSUED TO: Gpct-i `4~-d~lasd~t \Avin PROPERTY LOCATION: V-4
S;1'\0
SUBDIVISION CawEr+ (J"
Facility Type: SF9 CLYd ~~1`'s / New ❑ Expansion ❑ Repair
-
NY.5 LOT # 3
Basement? ❑ Yes
N,, No Basement Fixtures? ❑ Yes ~>l o
Type of Wastewater System** Q urnP -TO ~ZS0/t, R-EQ v<~ 10 t ~ysTrm
(Initial) Wastewater Flow: 33' 0 GPD
(See note below, if applicable
Pv ref'-7 a W1o 4-0 V N-11) t"I (Repair)
Installation Requirements/Conditions Number of trenches ,
Septic Tank Size 1 000 gallons Exact length of each trench 210 feet
C,
Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of. i"~ 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
Conditions: Q~2~ Qs~.~C ON
Aggregate Depth: inches above pipe
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: /understand the system type specified is different from the type speciTed on the application. / accept the speciflcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject revocation if 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 iszz u t to complianibtldr6l -visioy of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
'aLi
Authorized State Agent: 0~- u---t5 Date: `3
ction Authorization Expiration Date: S
HTE# k I-5 O'$'0
Permit # x.66 n
Harnett County Department of ublic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION Gw~, dP•~ LOT # 3
Authorized State Agent: 2LY'+5 (1Z)L VEJL ~OLX-5'J~ Date: 'g ~I
23-11
1 ~5"
v P~LJDrL C1-C-LE.
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 $E &0qs % Design Flow (.1949): 310
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger B ing ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
1940
L
d
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
an
scape
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
®
G s
w-V
'~L3
54?11CSC.I
- SS)`!A
17.5
'ILA
r- 5-U /V
c~M
'q F L
vC, s l P
~o~` ate '
v 5
l
~
O`1`6
G da Z
1
Yoh. ~.ss\ 1SQ
1~~
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sS15~
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Lk
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sg~c. sc~...
Ssl
Pss
Description
Initial
S stem
Re air System
Other Factors (.1946):
Site Classification ( I948)QS
Available Space (.1945)
Evaluated B
:Q""
System Ty e(s)
P VM
y
Others Present
`
Site LTAR
:
ys"