IPACHTE# 11i Harnett County Department of Public Health
Improvement Permit 26710
A building permit cannot be issued with only an Improvement Permit
\ 1 PROPERTY LOCATION: QPC4LC7C.;~ C_p
ISSUED TO: ht )--Gul5 fOQn0v-4 SUBDIVISION LOT #
NEWA REPAIR ❑ EXPANSION ❑
Type of Structure: Pro , r t1 <114
Proposed Wastewater System Type: %-.4-4 1hrt fol.
Projected Daily Flow: c~® GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes i< No
Pump Required: ❑Yes cNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 O® feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: \'a.. 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o ;r p 'ts. The permit holder is respon ble 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 Per ' of 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.
ISSUED TO: ~o tit I-ZIJ ty ri~¢.~ o,.► PROPERTY LOCATION: QNt.~5 cm
\~v
SUBDIVISION LOT #
Facility Type: P~ •\~~c ~.~~~'10~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** ~a~ rdE.r~C1 0 r4 P l_ (Initial) Wastewater Flow: 2.40 GPD
(See note below, if applicable crc ~54/a
v rr'( Noav (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size ) Q) G gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: N 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 (IN(LUDING 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 specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a chance in ownershin of the sits This
Construction Authorization is subject to
and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Authorized State Agent: P•GA5 Date: _
Constru uthorization Expiration Date:
Site Improvements required prior to Construction Authorization Issuance:
6
HTE# ~ 1
Permit # a~~ d
Harnett County Department of Public Health
Site Sketch
ISSUED TO: 0
Authorized State Agent:
",0,0:4 C.
~~C 5
b~J
PROPERTY LOCATON: 0'-,2.20GY+\1~
SUBDIVISION LOT #
U L I IGt*Y-Wo~95--) Date:
7l'7-' J
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 cX:r~'
Design Flow (.1949): a1A 0
Location of Site: Property Recorded:
Water Supply: 2Public❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 'IEZ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
1940
d
L
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
an
scape
Position/
Slope %
Horizon
Depth
(In.)
1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
_.Depth (IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
G 5
-
t
_
_
az= 3$
sS c 566-
Frz ~s ) 5''
o-)
'5~
16
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): e J
Available System TSpas e .1945) Evaluated By: t '
C° G11~- Others Present:
Site i.TAR L1~
~-Pqo i