IPACH T E # 1l a7 Harnett County Department of Public Health
Improvement Permit 2 6 6 4 9
A building permit cannot be issued with only an Improve gent Permit
J PROPERTY LOCATION: i L" Cca f ~~~I.
ISSUED T~ ~.a7 ,,c CcnJ'1rUC: , Get SUBDIVISION ~~z } ~Q der LOT # /
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF
Proposed Wastewater System Type: C on Ven i opt q.
Projected Daily Flow: .3~o Q GPD
Number of bedrooms: -7 Number of Occupants: L max
Basement ❑Yes C/No
Pump Required: ❑Yes 111' No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for: 2 Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 1 5:2~ 1 mow` , xeql Date: `1//& SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health partment inno 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: 4/~A-4 c C0/Lrt/-1J4;0^ PROPERTY LOCATION: S,~; (t l v c~.t 2~.
SUBDIVISION LOT #
Facility Type: IS-)p 6 K( New ❑ Expansion ❑ Repair
Basement? ❑ Yes V' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Cc ALr C"t ~ o,. - (Initial) Wastewater Flow: C> GPD
(See note below, if applicable
Cc>n Je,~`~'~ e~ c".Q (Repair)
Installation Requirements/Conditions Number of trenches tZ
Septic Tank Size 00 O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 102+-/8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Aggregate Depth: 02 inches above pipe
/aZ 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 speciped is different from the type specired on the app/ication. / accept the speci,`cations 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 conditions of this permit. Stt Al IALlitV SITE SKETCH
Authorized State Agent: coq, Date: `1 / c, /Zv/_
Construction Authorization Expiration Date: 6 ac/6
Exact length of each trench -75- feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: a 4t-~3 c inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
HTE#
l PROPERTY LOLATON:
ISSUED TO: c Ccy.!~~uc SUBDIVISION LOT # l
J /~G
Authorized State Agent: .Z Date:
63
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S=Q2~5~1€3 Permit # a~- S- g 9
Harnett County Department of Public Health
Site Sketch
~ ~
10r, cl
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: L~ rublic❑ Individual ❑ Well
Evaluation Method: Auger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
.
OIL MORPHOLOGY
.1941
T
HER
ZPROFICL
E
FACTORS
_
E
#
Position/
Slope %
Depth
(In.)
/
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
F1
^l~
V/"~~
s-d
Description Initial Repair S tem Other Factors (.1946):
System Site Classification (.I948)_Jf
Available Space (.1945) Evaluated By:
System T e(s) C V C C-t ✓ Others Present:
Site LTAR