IPACATE #31A Harnett County Department Health i
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
4 PROPERTY LOCATION: �A o ) ja C70 ,,,%
ISSUED TO: S ia\J yy GZ SUBDIVISION fn P,v-N l f.. Q��S-z a.. '., 0GF_ LOT # W_
NEW>� REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: svo Q N -�,_;K
Proposed Wastewater System Type: ��� vGS 10 is 5-Y5— frr.
Projected Daily Flow: I_� GPD
Number of bedrooms: L4 Number of Occupants: `1 max
Basement ❑Yes No
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 L o0 feet Permit valid for Five years
Permit conditions ❑ No expiration
Authorized State Agent:: ���� ®' i21z;s��
The issuance of this permit by the Health Department in no way guarantee uance
site is subject to revocation if the site plan, plat, or the intended use changes. The
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: L I I -"I i L� SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: P.-i" \A®�S G PROPERTY LOCATION: 1 I L-0 6N � _k QV41 NC; d of U2
SUBDIVISION Y fwntiC, �Ez-a_ `Z 0 LOT #$uN
Facility Type: �fl C"U`� New ❑ Expansion ❑ Repair
Basement? ❑ Yes ` No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** 9�� °%o yc:5 s �. �J i b S e-N-N (Initial) Wastewater Flow: tf'060 GPD
(See note below, if applicable ❑) a.
v yl' b (Repair)
Installation Requirements /Conditions Number of trenches I
Septic Tank Size 1 oc7 Q gallons Exact length of each trench L<)Q feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Y° inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: c) Feet on Center
Soil Cover: C inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
* *If applicable: / nnderrtand the r,r type rpeciped it different from the type rpeciped on the application. /accept the fpeciTcationa o>`thif permit.
Owner /Legal Repres tative Signature: Date:
This Construction Authorization is subject ,ion if the site 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 soject npliance t visions he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t 1 s
n on Authorization Expiration Date: 1�
HTE# � LA — 5— _SIii 11-� Permit # � %i 5 C
Harnett County ]Department of niblic Health
Site Sketch
ISSUED TO: PROPERTY LOCATON: _v, 1–v E_K� 0-w 1%3 �;T 0 q N _
—SUBDIVISION LOT #
Authorized State Agent: Date: 1�
-Y
1Pa()r4-, 0ff-
VA, 0 U S t
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: Design Flow (.1949):4 {fie
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethodTkAugekBoring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
07L\
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (1948):-e5
Evaluated By: 0 y
Others Present: —_
Available Space(. 1945)
System Type(s)
`V&-
p
Site LTAR
3