IPACHTE#-1'4— 5 -33S3 -� Harnett County Department of Public Health 28011
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
` PROPERTY LOCATION: \\,I s o G a N \-I t'X
ISSUED TO: � E�Nf 6S1- 40 r C-5 SUBDIVISION It 1-4 0 M -'5 p,,'3 oQ- LOT # I
N EVO< REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ��Q (66 "C'c -
Proposed Wastewater System Type: �� o ('4— .av(!5scvN SysFsV.
Projected Daily Flow: G0 ® GPD
Number of bedrooms: r-; Number of Occupants: 18 max
Basement ❑Yes - No
Pump Required: ❑Yes,No ❑ May be required based on final location and elevations of facilities
Type of Water Suppf!. Communi ty, Public ❑ Well Distance from well l0 ® feet Permit valid for: Five years
Permit conditions: a cam_ ❑ No expiration
Authorized State Agent:: ' tiS Date: `$ ( sA )'-� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc ter permits. The permit holler is esponsible 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 fimprovemehtzk< 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 T0: W �P�� cn. ° s� PROPERTY LOCATION: \d v o c co N
SUBDIVISION t vA 0MA2, f"I Nn OSZ-- LOT # 1
Facility Type: � New ❑ Expansion ❑ Repair
Basement? ❑ Yes 19, No Basement Fixtures? ❑ Yes -XNo
Type of Wastewater System ** S��o vL�� u t' Svc Grv-N (Initial) Wastewater Flow: C,�7 D GPD
(See note below, if applicable ❑)
�.nV )o>J S m (Repair)
Installation Requirements /Conditions Number of trenches -:�
Septic Tank Size 1 aSQ gallons Exact length of each trench t 1 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of \�,- -1 LI inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 speciled is different from the type speciped on the app /ication. /accept the specifications of this permit.
Owner /Legal Represefttative Signature: Date:
This Construction Authorization is subject t anon if the 'te plan, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is subk Ercomplianc ' h ovisio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Z�— Date: )
Cons ion Authorization Expiration Date: ALS
HTE# iI-N _ �)" 3353n Permit # �3b\
w A -/
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:���1
Proposed Facility: � 3g2c -' Design Flow (. 1949):,66 Or) Property Size:
Location of Site: Property Recorded:
Water Supply. \ ublic❑ Individual ❑Well ❑ Spring
Evaluation Method: `AumBo 'ng ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process ❑ Mixed
❑ Other
Description Initial Re air System Other Factors (.1946):
S st Site Classification (.1948):4
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR
P
. ;-.1 t-} "- 15 ^'i ) V_)s ( qF . CC 1 c-i 1
P
R
O
F
1 .1940
L Landscape
E Position/
# Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralog
.1942
Soil
Wetness/
Color
1943
Soil
D th (IN.)
4SaproRestr
1944
oriz
31
S�3 \C C4�
IC e—L
))
Description Initial Re air System Other Factors (.1946):
S st Site Classification (.1948):4
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR
P
. ;-.1 t-} "- 15 ^'i ) V_)s ( qF . CC 1 c-i 1