IPAC RHTE #-1 5- Harnett County Department of Public Health 28318
hDrovement Permit
A building permit cannot be issued with only an Improvement Perm
_ PROPERTY LOCATION: )A cz,Nrf '—
ISSUED T0: C, SUBDIVISION Y.C.Q., . x l S LOT # jc'k
NEW REPAIR ❑ n Ea NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: cc.,S ( 1-3r) '
Proposed Wastewater System Type: '% a �uc—nd NA S y� G,�
Projected Daily Flow: Lt-.�C) GPD
Number of bedrooms: Number of Occupants: 19, max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No -XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community XPublic 11Well Distance from well 1 C')O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ���� '� ` w. `s�`� Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan ther permits. The permit holder is responsi le 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: '�—> q\-'Jy V, 0 Mcg 1 "`} C -
Facility Type:
PROPERTY LOCATION: sl-la
SUBDIVISION V—iwA-5 LOT # 5').
❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 10 -- V ,C9 N S`-6-TIC-tT> (Initial) Wastewater Flow: Lid GPD
(See note below, if applicable ❑) ---cr /
Qy Q;77 10 f (Repair)
Installation Requirements/Conditions Number of trenches L -i
Septic Tank Size p(�DC) gallons Exact length of each trench Cg 6
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I -�)L�
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: 6 inches
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: /understand the system type specified is different from the type pe fled on the app/kation. 1 accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject 'to cation if the sip Ian, 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 subpliance 'wiirovisio-64,the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: L
ction Authorization Expiration Date:
HTE # D3 62- Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION LOT #
,��-M5(OUN6c&" M)cZ1D0QT) Date: Li -.):Il )S -
Authorized State Agent:— - I
M
'ti
�400sc
400
10
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):
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
1
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
1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
4
R i
\; F'n
4
3
0 -3 o
G LS
Nf
5
Description Initial Repair System Other Factors (1946):
Syste Site Classification (.1948)v�
Available Space (.1945) Evaluated ByC/'l�
System Types)5` Others Present:
Site LTAR;