IPACHTE# 9Harnett County Department of Public Health
Improvement Permit 26706
A building permit cannot be issued with only an Improvement Permit
-1v.lyatiO
Ain PROPERTY LOCATION:
ISSUED TO: ~ 1 lRQaIr S,ar4 yl~~S SUBDIVISION GwE~,4 OA-As LOT # 5
NEW)" REPAIR ❑ EJANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S r~O CLA~Jx51
Proposed Wastewater System Type: Py r4 of -4-S °/o Rt:,ptt (~7,) d
Projected Daily Flow: ` (o® GPD
Number of bedrooms: Number of Occupants: (~c-> max
Basement ❑Yes No
Pump Required:;es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 (!DC') feet Permit valid for. AFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 3 ) ( 1 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees h bsuan a~of other permits. The permit holde is resl 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. The e p vrLe gilt 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.. `J
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: G0~4;-; ~\04)+-Aso W KOtY,ES PROPERTY LOCATION:
SUBDIVISION
Facility Type: 5F0
New ❑ Expansion ❑ Repair
2 knN~ LOT #
Basement? ❑ Yes ' K No Basement Fixtures? ❑ Yes X- No
Type of Wastewater System** RV WR
> d 8.S% f~C--Q UG-'0 0 N S45-1 5-"N
(Initial) Wastewater Flow: "I(~o GPD
(See note below, if applicable
'pUcs'R
)Q 2-~0/0 'P, EoyG;N OsJ (Repair)
Installation Requirements/Conditions
Number of trenches q
Septic Tank Size t COCA ® gallons
Exact length of each trench lc0 feet
q
Trench Spacing: 1 Feet on Center
Pump Tank Size 1 o O O gallons
Trenches shall be installed on contour at a
Soil Cover: C, inches
Maximum Trench Depth of: vi 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: 9EXLM VI~ ~)a• 5&b d
,
a V `(Lf?pos t~L S;y br+1 Mep w N
Aggregate Depth: inches above pipe
Q
GR-
.
inches total
9L~
N \0 a,,1
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.
**If applicable: / understand the system type speciTed is different from the type speciTed on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to 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 is sloKt`.t\compliance wk-fiteWisiqRcif k-Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: n~\ 2&1-_~ Date: 'Z -5 11 .1
Authorization Expiration Date: I 'b
HTE# 11- 5-'~ 0 Permit # a.6 `7 0 4
Harnett County Department of iblic Health
Site Sketch
Authorized State Agent:
PROPERTY LOCATON: ~-)w-,)' os
SUBDIVISION ~rl ®c~`.tS ( \ LOT # 5_~
a ~4L~yf~2.. S'OLfl Date: 9` 3111
i-lC'~~10(2- LN
\ e1 ~
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: y
Proposed Facility: ~)ZEOa' Design Flow (.1949):btl Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method Auer Bo ing ❑ Pit ❑ Cut
Type of Wastewater: ~°'QI^ Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY OTHER
I 1940
L Landscape Horizon .1941 .1942 PROFILE FACTORS
E Position/ Depth .1941 .1941 Soil .1943
# .1956 .1944 Profile
Slope % (In.) Structure/ Consistence Wetness/ Soil Sapro
Class
Texture Mineralogy Color Depth (IN. Class Honz & LTAR
5-1-vo O C
2C~ '
L
1~
- Q; SL
'q
~rCra SJta \nt
5a Y-
'pit
F(L- T 3 j 1~
b ' aV, , c._L
:ri ~P
tzy '
o (
a
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (
1948):
~
Available Space .1945)
.
.
Evaluated B
0'(
System Type(s)
P J ^ p 0
t,
y:
Othe
P
Site LTAR
S
rs
resent:
1