IPACHTE #1'-N °5 -51n Harnett County Department of Public Health 28035
Improvement Permit
A building permit cannot be issued with only an Improvement Perrot
I ,\ PROPERTY LOCATION: S-1 vL.�o �► v G Cp
ISSUED TO: � ,vfte -'5 �-�t \�\P. ri Q,cu*Vcs - SUBDIVISION C.y��►,�, i'ta�ow,c.c. LOT #
NEW>< REPAIR f94NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 VQ ��7 "`d0
Proposed Wastewater System Type: o t?VC5�\C1N Sy3;G".)
Projected Daily Flow: 3(,�® GPD
Number of bedrooms: 3 Number of Occupants: �' max
Basement ❑Yes ANo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A9ePublic ❑ Well Distance from well A ®d feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 'A SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc Q__ ermits. 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 PFttltit 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 TO: `-,AMC —S S�tA 1�C�,2P�ricf. PROPERTY LOCATION: A , t—z— QVE-
SUBDIVISION C,,+ )NP, �A>ZS�ea�c:- LOT # 3
Facility Type: 5CC� �- fir'''" �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes _7�9, No
Basement Fixtures? ❑ Yes No
4-Ys
Type of Wastewater System'
aS °/p
N rC--r<
(Initial) Wastewater Flow: Q GPD
(See note below, if applicable ❑)
-S�L 0
"1 C;-' ) 0 n1 (Repair)
Installation Requirements /Conditions
Number of trenches 3
Septic Tank Size l00 8
gallons
Exact length of each trench feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: G inches
Maximum Trench Depth of: A -3Z. 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
Aggregate Depth:
Conditions:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type speciled is different from the type speciled on the app lication. / accept the specifications of this permit.
Owner /Legal Representat�: Date:
This Construction Authorization is subject to revocan ' 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 subj� compliance the pro ' W s of Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: r o Date: =
Con n Authorization Expiration Date:
HTE# _\ Li ~5=55 -1510
Permit #
Harnett County Department of IN-tblic Health
Site S�ketch
ISSUED TO:��cnGs Y
Authorized State Agent:
PROPERTY LOCATON: "i Luno m �2 -g t —_
5"2'0w)(A, SUBDIVISION Q >NvS i NP. H W7Z Nr, _-,(- LOT #
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: `
Proposed Facility: 90q-' '1 Design Flow (.1949):3
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho Au er Boring El Pit ❑Cut
Type of Wastewate : Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY OTHER
.1941 PROFILE FACTORS
.1941 .1941
Structure,' Consistence
Texture Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
2
0_3
G
'`U
C_ s
t
C. 5
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948)
Available Space (.1945) Evaluated By:
System Type(s) 2 V�LLC41RD Others Present:
Site LTAR
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