IPACHTE# 1a= �� Harnett County Department of Public Health
Improvement er it
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: t I a 6C-.,4
ISSUED TO: �"5ca...+L�%L Q=)U►LpE.s' SUBDIVISION Sums s CZ-\ or. f— LOT #
NEW REPAIR ❑ EXPAPI ON El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 � -j3:^ 2-j-1 � _
Proposed Wastewater System Type: Q u nn ?fir/ 9L.� - 'fiZvC1s 0'.
Projected Daily Flow: 'aLc> GPD
Number of bedrooms: ✓ Number of Occupants: max
Basement ❑Yes No
Pump Require4-"&Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community .Public ❑ Well Distance from well b d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \� �- _ ' Date: 1�'1� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is rc of other permits. The perms 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 intende 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.
Reouired 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 TO: '5-1 L 90 0 . %,0G<tb PROPERTY LOCATION: 1 I
SUBDIVISION SU "SC MV Qt,.® 6& LOT # Ill
Facility Type: Sip C5a:�t.;�-f� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ', No
Type of Wastewater System ** Q U'V aS% 99--D (Initial) Wastewater Flow: `'CC1 GPD
(See note below, if applicable ❑) ['� /
iU ctl� �[e RC-pvCAk 04 (Repair)
Installation Requirements/Conditions
Septic Tank Size 1C7 ® O gallons Exact length of each trench feet Trench Spacing: C) Feet on Center
Pump Tank Size �O ®O gallons Trenches shall be installed on contour at a Soil Cover. I--- inches
Maximum Trench Depth of: Q-4-30 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
* *If applicable: 1 understand the system type specifled is different from the type specified on the application. l accept the .specifications of this permit.
Owner /Legal Representative ig Date:
This Construction Authorization is subject to ' vocation e ' 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 Constructio zation is subI to Ii the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Authorized State Agent: �� Date: Ia N-) )
Constru ' Authorization Expiration Date: _7
HTE# 5 30\®H Permit #
Harnett County Department of -1�iblic Health
Site Sketch
PROPERTY LOCATON: I c., 6E.a
ISSUED TO: SUBDIVISION S y LOT # _
Authorized State Agent: Date:
t ®3 "
' tvGk� 2Q
M
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 3 O Property Size:
Location of Site: Property Recorded:
Water Supply:�,� ublic❑ Individual El Well ❑ Spring ❑ Other
Evaluation Method: huger Boring ❑ Pit ❑ Cut
Type of Wastewater: ,, r&Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
+
Description
Initial
SvsteA
R2r System
Other Factors (.1946):
Site Classification (.1948):
Evaluated B .
Others Present:
G«
Available Space(. 1945)
V
System Type(s)
fj i
Site LTAR
+