IPACHTE #da �-�`'�°1L!2-
Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: QG. -N-0$
ISSUED TO: C.90e -o /0N'4PCp'14l'At- SUBDIVISION
LOT #
NEW)K REPAIR p RANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: YTI cfl �' x—1 6
Proposed Wastewater System Type: Qv rnP 'N o 1 r►NCav pCC wt E-
Projected Daily Flow: "3c 0 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes X No
Pump Required�es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >; Public ❑ Well Distance from well t� C'� feet
Permit conditions:
Permit valid for Five years
❑ No expiration
Authorized State Agent:: Date: 1() 131114- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance r 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 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 Permio
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: PROPERTY LOCATION: Cap s r �ffi
SUBDIVISION — LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes �o
Type of Wastewater System ** 90 Mp � 0 1 N cv a-N P.S -4 C- (Initial) Wastewater Flow: � � ` GPD
(See note below, if applicable ❑)
-p U A l r) �a '-4cr/ Q -''rVZ (Repair)
Installation Requirements /Conditions Number of trenches t
Septic Tank Size 10 o c1 gallons Exact length of each trench feet
Pump Tank Size 1 d In e' gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1'Oz, inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: I Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
�-- Aggregate Depth:
Conditions: M C Q-3 G-1 'rE. oCt. �'>*�D�t— — p`�O�f'S
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.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type specired it different from the type speciped on the application. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to tion 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 subjeckyo compliancNzt ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: �,�... ��� `1 '��R -��S Date: 10 3�
Authorization Expiration Date:
HTE# 1'3.— '�L�
ISSUED TO:
Authorized State Agent:
Permit # ' `— 1 Y `d
Harnett County Department of Pttblic Health
Site Sl(etch
PROPERTY LOCATON: C L-z-� N s
SUBDIVISION LOT #
t26za5 (ei- NvGrj,- °ajysD0( Date: tO131� 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:
Address: Date Evaluated:
Proposed Facility: 3QC- Design Flow (.1949): 3b0
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethodX Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: '`Q] Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
SOIL MORPHOLOGY
.1940 .1941
Landscape Horizon
Position/ Depth .1941 .1941
Slope % (hi.) Structure/ Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN.)
.1956
19 ro
Class
.1944
Restr
Horiz
_S7
Site LTAR
3
,3
`1
1'1
s3 X.. C
P1 5)-e
icy a 0..`pi -)I
C -1
1Q(�
sg k C1.
16
Y_ C_
0 '0 -1%
A36I
513)r C'
V-o 5! (
tC� l�Z.. ��4a
-11),�
P 7)
,
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948): P
Evaluated By: (r%
Others Present: (i UN
Available Space(. 1945)
System T e(s)
Site LTAR
3
,3