IPACHTE# Harnett County Department of Public Health
Improvement Permit 26647
A building permit cannot be issued with only an Improvement Permit
/j j PROPERTY LOCATION: S (t Ly cow /J.
ISSUED T : X/tA_'L t', 1L l_ //11 .c.n-r/ uc rWk SUBDIVISION S~ ZR.±-WQJ-~ LOT #
NEW REPAIR ❑ r (EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F IB S V3
Proposed Wastewater System Type: v2~y~ eSvc ; _
Projected Daily Flow: -3(.0 GPD
Number of bedrooms: Number of Occupants: L max
Basement ❑Yes 2"No ~
Pump Required: ❑Yes ❑ No IJ MaMa1 be required based on final location and elevations of facilities
Type of Water Supply: El Community L Public ❑ Well Distance from well feet Permit valid for: f?" Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: a-C11
SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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 T0: c Cc ' I l ~r t,e_~ c PROPERTY LOCATION: ` Et c~S~~c~
SUBDIVISION r~we 4 W a LOT # 5
Facility Type: ~ 5-Fb C~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes Qr No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** o2~So ea~:~.. j (Initial) Wastewater Flow: GPD
(See note below, if applicable Fv-fl
(Repair)
Installation Requirements/Conditions Number of trenches 13
Septic Tank Size 06 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 8 Q feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. -2-, ?y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: /d-/6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditinnc of this normir wr ATTAfurn VTG (VCM
Authorized State Agent: Date: A. 1,21CII
Construction Authorization Expiration Date: b Zr1&
HTE# 5-- -2-77 `120 Permit # a,, ti°y7
Harnett County Department of iblic Health
Site Sketch
PROPERTY LOCATON: _ l C1,r/Q.
ISSUED TO: cc3,1r~cu J: ov SUBDIVISION LOT ~
Authorized State Agent: S4 Date:
,v If
9Qi
/8~
yv4'; 6 t--p-
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: `/c / a~
Proposed Facility: Design Flow (.1949):
Location of Site: ~ Property Recorded:
Water Supply: L"I rublic❑ Individual ❑ Well
Evaluation Method: Auger o ing ❑ Pit ❑ Cut
Type of Wastewater: Bo
❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
940
Landscape Horizon
PositioZ1.1 / Depth
Slope (In.)
OIL MORPHOLOGY
.1941
.1941 .1941
Structure/ Consistence
Texture Mineralogy
1942 P
Soil
Wetness/
Color
THER
ROFILE FACTORS
1943
.1956
Soil Sapro
De th (IN.) Class
1944 Profile
Restr Class
Horiz & LTAR
c1JL
vrrII1~d
A- I/
p
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (
1948
'
Available Space .1945)
.
):,0
Q
E
l
d
System T
Site LTAR
e(s)
f^
f-
va
uate
B
y
Others Present: