IPACH T E # Nt-;)-5=3L��1 11 Harnett County Department of Public Health 28162
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1P SQA E 1-N
ISSUED TO: O V ey V-, 'Sv r� rs tV C, SUBDIVISION 1 '3�1 t✓ u WN--- LOT #
NE&X REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SQ --0
Proposed Wastewater System Type: aSG/o vG t U g ,is`;�„rc�
Projected Daily Flow: "b`(23:Z) GPD
Number of bedrooms: 25 Number of Occupants: G max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Su • Community Public ❑ Well Distance from well V 00 feet Permit valid for: Five years
Permit conditions: ' ❑ o expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the a
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 1l I31l1-1 SEE ATTACHED SITE SKETCH
permits. The permit holder is respo ible for checking with appropriate governing bodies in meeting their requirements. This
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: �o u'� } �csr,w t r t C, PROPERTY LOCATION: pa >' u fC, �--N
SUBDIVISION 1 rz.��Csv.S �L v LOT # Li°l
Facility Type: �� X�2-� X New ❑ Expansion ❑ Repair
Basement? ❑ Yes >k No Basement Fixtures? El Yes XNo
Type of Wastewater System** �� �1 0 - v Gs > o N y5-'�G (Initial) Wastewater Flow: 340 GPD
(See note below, if applicable ❑) _ c/
Pine d i ® UJ M1 a A (Repair)
Installation Requirements/Conditions Number of trenches i
Septic Tank Size 10 ® 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench c3� feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Vg inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 'I 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 ]OFT. 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 speciFed on the application. /accept the specifications of this permit.
Owner/Legal Representative I Date:
This Construction Authorization is subject to r vocation i to 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 sr�ompliance the provision the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: �1 a
Co ction Authorization Expiration Date: t
HTE# 4 -- Li � I I - Permit # '-),I i Q`a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:—pQ-rA1Q1\
ISSUED TO: C— SUBDIVISION irLcmcxL5 EL-ocr L 0 T # 'if'j
Authorized State Agent: Date: t 1 14
vi 0 0 sr-
-.,C
3.0
DQ
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: 5 SM A Design Flow(. 1949): 3G4 SC
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: _Sewage ❑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
Sl._/Z
,l
3 ;,x
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): Pj
Available Space(. 1945) Evaluated. By: o -�
System Type(s) 8 S s U(1 W Others Present:
Site LTAR . L,