IPACHTE# I Harnett County Department of Public Health
Improvement Permit 26691
ISSUED TO: 'OE e 1JN0-2r
NEWX REPAIR ❑ E
Type of Structure: S`a'm C
Proposed Wastewater Sy Type: rz~/o
Projected Daily Flow: GPD
Number of bedrooms:- Number t
A building permit cannot be issued with only an Improvement Permit ,c
PROPERTY LOCATION: ILV MCn l.4 6•s
SUBDIVISION 2(~-,JS"-,w0ocp LOT # ~0
ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
5 C-;e-)tre"% r-'4 C'
R.GOV , o N Is ~.cr
if Occupants: C;, max
Basement ❑Yes ><No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community El Public X Well Distance from well X00 feet Permit valid for: Five years
Permit conditions: ❑ o expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of ott r.'tsqiits. The permit holder is resp sible 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 ll 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: DoE. f\ U 6-2- PROPERTY LOCATION: C-v mrnl N 5
SUBDIVISION V-PNJ&,1-, Q W LOT # 10
Facility Type: `~~0 ~3 ?`36 E7tera C. New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes 1~ilCNo
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable,1211') 1
2.S'O(o ~C.S tip sit S't°5~£rr~ (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size k b®® gallons Exact length of each trench 0k 0 feet Trench Spacing: C- Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: _ inches
Maximum Trench Depth of: 1-c)l 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
Aggregate Depth: inches above pipe
Conditions: MLe''~ 0-4 inches total
S -1 S---V c. 1 CJ AGO
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: I understand the system type speciped /s different from the type specified on the application. /accept the apecifcationa of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, r 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 s j ct ts.,compliance with 11% Prove ' the laws a ules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: VS- -\1
Construction "IMorization Expiration Date: I
1, )A t
HTE# 1) Permit #
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON: (::-vmM\ ~S 14
ISSUED TO: dG C~rQ~~-. SUBDIVISION LOT # VC
Authorized State Agent: (0 1,1V VL-70LK SWW Dater }
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: ~~~cC~?tom Design Flow (.1949): d
Location of Site: Property Recorded: J
Water Supply: Public❑ Indi id I ❑ Well
Evaluation Method:NAuger Boring Pit ❑ Cut
Type of Wastewater: ~ Sewage Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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/
Color
.1943
Soil
D th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
M
tCt \af~
~
G J
q4
G L
VS;~ N5~
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space(. 1945)
Evaluated B
:
System T e(s)
a T °JU
y
Others Present:
Site LTAR
a
a.