IPACHTE# Oc~ -5 Harnett County Department of Public Health 2 5 7 8 6
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I~J PPcaa_~ LasCL ~W
ISSUED TO: yHrvE. 'A C.yr.~n~, t65 SUBDIVISION SorY,m\'C LOT # 15?.
NEW' REPAIR ❑ f NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 D Q5'-~ xy(~
Proposed Wastewater System Type: (✓oN.z p.lL
Projected Daily Flow: 3~b GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes NNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well O feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu ther 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 J950, .1952, .1954, .195S, .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. n
ISSUED TO: ~ r,' Cv t~ m.N r5 PROPERTY LOCATION: laUFFiXL 0
SUBDIVISION \"A6 SUrnMN~ LOT # 15
Facility Type: Sfr~~~4r'~ ~ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~No
Type of Wastewater System" Co NvEr•rS. o tv L >L (Initial) Wastewater flow: 3(_0 GPD
(See note below, if applicable
C t4 V 1 Ot-t K (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size t,010C gallons Exact length of each trench 1 SO feet Trench Spacing: `l Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: 1 a inches
Maximum Trench Depth of. 3D 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: .l inches above pipe
Conditions: _VJac,&s~ nv3-i 1 VaoX" SGE'~> S-Y SY NN 1~. inches total
**If applicable: /understand the system type specified is different from the type specified on the app/icwt n. / accept the specifications of this permit.
Owner/Legal Representative Sjg e: Date:
This Construction Authonzation is subject to revocation plat, or t=dR
use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization iset.(compliance w top for Sewage Tre
atment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
115 Date: I
Authorization Expiration Date:
HTE# Permit # `~S-JB6
Harnett County I)epa tlnent of Public Health
Site sketch
PROPERTY LOCATON: eoFv:WIO ~-A* R~
ISSUED TO: YEN NE ~l CU N. C SUBDIVISION 1~it= SvN.r.~~ LOT
Authorized State Agent: `SOL4soof~ Date: ~.IBI6c1
'CJ O AX-H 1,I 6
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Delm meat of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOQJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner Applicant:
Sheet:
Property ID:
Lot
File
Code:
Address: Date Evaluated:
Pressed Facility: Design Flow (.1949):'X6 Property Size:
Location of Site: Property Recorded:
Water Supply: ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: n;Auger Bob ❑ Pit ❑ Cut
Type of Wastewater Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
0
.
L exxiscaps
pwitiont
Slope %
Horizon
Depth
(In.)
.1941
structurd
Tare
.1941
Coosistaaca
Mirrxab
.1941
soil
womesa!
Color
.1943
soil
Depth W.
.1936
Sapro
Class
.1944
ReW
Horiz
Proms
Class
LTAR
1
s 5 e e.
0-1v
r. s
YPy 14,
Description
Initial
s st
Repair System
Other Factors (.1946}
Site Classification (.19487 5
Available Space .1943
Evaluated BY: a-i
stem s
u
N
Others Present: 8 in
site LTAR