IPACHTE# 13 -5 - -31 (L4 Harnett County Department of Public Health
hDrovement Permit 27527
ISSUED TO: `^► .aY i, \--�-OevNe -5
NEWX REPAIR ❑ -•9
Type of Structure: SF'9
Proposed Wastewater System Type: a' 70 1
Projected Daily Flow: 3 (+® GPD
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ®La L12,1
SUBDIVISION St- �P►"9t -PA�', YN0LL,. LOT #
�ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
�Cs�t1c,5 s o4.1
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditi^ ❑ No expiration
Authorized State Agent:: v \ '� -C=Y►g Date: `7 1 ►f7 1 )3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc ser permits. The permit hoIdJ is respolisible 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: ��V�� �a =S PROPERTY LOCATION: COt.� A-.) -I
t SUBDIVISION S'-�" LPW—. V- NGL-L, LOT #
Facility Type: S �L,o'�q,� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Ya - �t UN 1ssC Y4-\ (Initial) Wastewater Flow: 3� C) GPD
(See note below, if applicable ❑)
as-/o o fRanairl
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size gallons Exact length of each trench feet Trench Spacing: 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6'- inches
Maximum Trench Depth of: I$ -a-LA 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
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 specified is different from the type specified on the app /ication. /accept the rpeciFcationr of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to re if ite 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 ssto complian ith f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: S Date:
Co ction Authorization Expiration Date:
HTE# 13—S-31,1641
Perrmt# :P5%
Harnett County Department of PlIblic Re"ClIth
Site Sketch
MI
IVI \ C)6E(5 N A-N-1
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. 71"5 5
Proposed Facility: 3 e�PQ _� Design Flow (.I949):'IA6�?
Location of Site: Property Recorded:
Water Supply: b_kublic❑ Individual ❑ Well
Evaluation Method-g]�Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: -"R Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
SOIL MORPHOLOGY
.1940 .1941
Landscape Horizon
Position/ Depth .1941 .1941
Slope % (In.) Structure/ Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness/
Color
.1943
Soil
D th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Y `i
ci
Site LTAR
5
`l
C�Ll Le
��Q6 >�3
Nil
j
Description
Initial
S stem
R ep it System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
V
System T e(s)
Y `i
Site LTAR
i
Zy
3 A%