IPACHTE# 3`1 '-5-'~.A N
Harnett County Department of Public Health 2 51 8 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: C-` ~'t ~a r E5 SUBDIVISION c C~ )cyo~~ LOT #
NEW> REPAIR ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~fl
Proposed Wastewater System Type: a S°lo P- OUC ; t~) IA
Projected Daily Flow: 3~o GPD
Number of bedrooms: Number of Occupants: 6 max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well SO(Z) feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: . t.S Date: to oC) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o permits. The permit holder isresponsible 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, .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 T0:
Facility Type:
Basement? ❑ Yes Ni
Type of Wastewater System"
(See note below, if applicable ❑
ew
Basement Fixtures? El Yes
o UC-~ `0N
Improvement Permit
PROPERTY LOCATION:
SUBDIVISION 23F,,l-t-P-zo
❑ Expansion ❑ Repair
No
a~°lo ~Eov c C~as I (Repair)
\f~ eoC)5 LOT # 1\2,
(Initial) Wastewater Flow: 3(-0 GPD
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size f o0o gallons Exact length of each trench ~p feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G ° ~_ck inches
Maximum Trench Depth of. a.4 - `b inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: P~ m ep~ti r~ v~ 5~ 3C~C-fl Q r v~ t, 1 ~z (L') inches total
**If applicable: / understand the system type specified is different from the type specified on the app/icatioo. / accept the speciTcationr of this permit
Owner/Legal Representative Signature: Date:
ims construction numortzanon is suofect to revocation it the site 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 sub compliance wi s o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 to z)°1
Cons uction Authorization Expiration Date: 3 ) a t
HTE# Permit # Q~-'S V$-~
Harnett County Department of IlUblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION BAti~ ~2c~ coos LOT #
Authorized State Agent: Date: }0~
shSE-PH P~1.fi~Aui~G2., ~f~
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: 3 gC~x cN~ Design Flow (.1949):_~kd_;'~
Location of Site:
Property ID:
Lot
File
Code:
Applicant:
Water Supply: J/-I,.Qublic ( J Individual [ J Well
Evaluation Method: -,?']-Auger Boring [ J Pit
Type of Wastewater: ' Sewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ 1 Spring [ J Other
(J Cut
[ J Mixed
P
R'
O
F
'
SOIL MORPHOLOGY
.1941`
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN.)
.1956
Sapro
Class
1944
Restr
Hodz
'
Profile'
Class
& LTAF~
`~~'1C
'K- CL,
Description
Initial stem
pair System
Available Space (.1945)
System Type(s)
t,
C> RJ
I Site LTAR
3
3
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: ,
3~~fa Cap--~g
s PLVJq0 "J-c kl t" CSC'vM~ 5 u rAcr ~~`m v ~iL NC'frDD