IPACHTE# ~~--~~►0`$1 Harnett County Department of Public Health
Improvement Permit 26694
A building permit cannot be issued with only an Improvement Permit
(~}}PROPERTY LOCATION: N G'a..N 0
ISSUED TO: `;PC L-) F-4~l~SO>\S )~.(n ~ SUBDIVISION G W GN Oa~~e S LOT #
NEW REPAIR ❑ EXP SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFQ X56--1C)'~'~
Proposed Wastewater System Type: D $3$316 9_-A 5yt5Er<s
Projected Daily Flow: '410 GPD
Number of bedrooms: 22 Number of Occupants: C, max
Basement ❑Yes ~ No
Pump Required: ❑Yes No El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: -s*S Date: '91)6-N SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantee e i nce of other permits. The permit holder is res onsible 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. Thh-?,%04vvement 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: (4~_a
C-0tWS0NA or_ PROPERTY LOCATION: 1~ U26:0b
SUBDIVISION LOT # 3eC
Facility Type: 5~,~'c1-I CJ>~ ;,New ❑ Expansion ❑ Repair
Basement? ❑ Yes '_19, No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** ate"/6 Q-Z\-) 7s1® N Sy 5-'6^r\ (Initial) Wastewater Flow: SQO GPD
(See note below, if applicable
c`~ /b Q60 e-T 0W Sys CE~ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size ! bC76 gallons Exact length of each trench a.o(3 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: c')OA inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: Sa. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Q Aggregate Depth:
Conditions: 'QG-Lm,%-r a C)rf QQo90S`i~1.t. SVS3 Ir\ 1 0 W~~1~~(QQL1coNl0s,s
inches below pipe
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: 1 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
to revocation if the sL 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
WIP'SLI
Construction Authorization isect to come roviv of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: -Z1 N
truction Authorization Expiration Date:
HTE# Permit # W-Gq
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: gC~AD
ISSUED TO: Gp+E2 \ht50 ROt~c, SUBDIVISION GwF-N Cb)65t LOT #
Authorized State Agent: ~stti ~v2-t"oz-XSD 0 0 Date: $ 1
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: 3Sx~~ Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: "P~Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: _-__E1 Sewage ❑ Industrial Process ❑ 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
De th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
5 S
C:5
vt fL htjl r }
Description
Initial
S ste
Re air System
Other Factors (.1946):
Site Classification 0948): RZ
Available Space( 1945)
Evaluated By:
System Type(s)
~e1
Others Present:
Site LTAR
-