IPACHTE# I L-,5-- Z7'/2Z Harnett County Department of Public Health
Improvement Permit 26645
A building permit cannot be issued with only an Improvement. Permit
C
ISSUED TO PROPERTY LOCATION: E C I-v c.C-i- f'J.
~an~. L on t ~r~c~ ; u•~ SUBDIVISION _~a,~ ee -F•ve`t ear LOT #
NEW 0Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .S" F T3 i>o X;n
Proposed Wastewater System Type: -~2_ r 7, ✓Le~u apt -s' r~~,,,
Projected Daily Flow: 3GO GPD
Number of bedrooms: J Number of Occupants: max
Basement ❑Yes 2'No
Pump Required: ❑Yes lil"No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Z Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: c.-ctDate: `I l ~ =d SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible 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 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: kl"A" PROPERTY LOCATION: Wltl L,c r/ci
SUBDIVISION w ,f LOT # G C=
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**s"~v (Initial) Wastewater Flow: _T(.0 GPD
(See note below, if applicable Qj
~Z s` y
Installation Requirements/Conditions
Septic Tank Size /Oor) gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Ce -k,' ° 2~.Ar^ (Repair)
Number of trenches 3
Exact length of each trench 8 0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. / 8 - 2-`l inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: G -1.2- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
Date:
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specipcationr of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this pi
- - - - - - - - - - - - - -
Authorized State Agent: Date: /,Z.//
Construction Authorization Expiration Date: /tom/oZal~
inches below pipe
inches above pipe
inches total
there is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# /f- 027 V,2-2- Permit # " - V5--
arnett County Department of ablie Health
Site Sketch
PROPERTY LOCATON: % I' L. c~ J Rd,
ISSUED TO: c ~Q n.I"~i-~~ SUBDIVISION We~1 er- LOT # b
Authorized State Agent: `
Date: ~ ~ ~ 0l1 T
l
I
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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: ff
Address: Date Evaluated:` /d 11
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Bores ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
.1940
SOIL MORPHOLOGY
1941
OTHER
L
Landscape Horizon
.
PROFILE FACTORS
1942
E
#
Position/
Slope %
Depth
(In.
.1941
Structure/
.1941
Consistence
•
Soil .1943 .1956
Wetness/ S
il
.1944 Profile
-
Texture
/
Mineralogy
o
Sa ro
Color
De th (IN.) Class
Restr Class
Horiz & LTAR
c-
sr~
p~A~~
-
lZr
1/~
C'
61
'All
Description
Initial Repair S stem
Other Factors (.1946):
Available Space .1945)
S stem
Site Classification (.1948):,'l'
S stem T
e(S)
Evaluated B
Site LTAR
i
:
Others Present: