IPACHTE# Harnett County Department of Public Health
Improvement Permit 26709
A building permit cannot be issued with only an IWrovement Permit
\4v PROPERTY LOCATION: `r®NDE~t t®,5 q-P
ISSUED TO: ~yrn4~E4,1-ta~yp orr,C-S ~tyL SUBDIVISION t_-,4P, '5 Gnu LOT # ~7~
NEW ~REPAIR Ca E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: W%
Proposed Wastewater System Type: a.S°f o ouc.rs \ 3,0 ~y s i f=m
Projected Daily Flow: 'a Jk, ® GPD
Number of bedrooms: Number of Occupants: Q. max
Basement ❑Yes X No
Pump Required: ❑Yes -K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ,K Public El Well Distance from well IbO feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~~s •K:~ Date: "A \ 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holder is r ponsible 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 mit 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. p
ISSUED TO: Cy f--N2-eZL-ftAQ WSt 2., \N r, PROPERTY LOCATION: T o+~ CC2 OS ~-D
SUBDIVISION C OM.o•t.1 N Q. S PP~~ C tJ> LOT #
Facility Type: S L~~ '``0) New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes No
Type of Wastewater System** `a46--*/° ovc..lOt~S 5-,. 1--- sv\ (Initial) Wastewater Flow: GPD
(See note below, if applicable
XS°lo kCi (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1®00 gallons Exact length of each trench VZQ) feet 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: r6 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: inches total
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 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 subj revocation if the site plan, lat, 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 subject tmpliance wi royRof t sand Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constru Authorization Expiration Date:
HTE# 11''5=XTAIS Permit # W10)
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ~o~oEaioSA
ISSUED TO: ~v est>_ -~0 - ANC, SUBDIVISION C toa-~cv~• ~s,so LOT #
Authorized State Agent: X*6 COL1VE2 101-\ZSV6* Date: I `tl l1
G1
y y.1 oT'I
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): 34C Property Size:
L
ti
f Si
oca
on o
te: Propert y Recorded:
W
'
ater Supply: t
Public[] Individual ❑ Well
❑ Spring ❑ Other
Evaluation Method:ID Au
gr Borin
g
g ®pit
Type of Wastewater: ❑ Cut
❑fSewage ❑ Industrial Process ❑ Mixed
P
R
0
F SOIL MORPHOLOGY OTHER
1940
1
.
.1941 PROFILE FACTORS
L Landscape Horizon
1942
E Position/ Depth 1941 .1941 Soil
# Slope % (In. .1943 .1956
Structure/ Consistence Wetness/
.1944 Profile
Soil
Texture Mineralo Color De th (IN. ClSapro
ass lass
estr Class
Horiz & LTAR
z- /a C) - fr` ~-L
<
J
J
z ~~l /'q
Description Initial Rep it System Other Factors (.1946):
S ste
Available Space (.1945)
Site Classification (.1948):
System T e(s)
' f
Evaluated By; ~
3
Site LTAR
.
Others Present:
~
J
t v U E al-i, ? 10,