IPACHTE# 15-5=3-3 Harnett County Department of Public Health 28617
hDrovement Permit
A building permit cannot be issued with only an Improvement Pe ft
\ ` \ PROPERTY LOCATION: FataS=og _
ISSUED T0: SUBDIVISION PCT nA s 4 oss a L LOT # Zl�
NECK) REPAIR ❑ Ed NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5i� C.Lscb"2-'f' .
Proposed Wastewater System Type: v v.Ne'7 cs 2S' , ' vc.: N
Projected Daily Flow: 3 6 O GPD
Number of bedrooms: - �L) Number of Occupants: max
Basement ❑Yes'�'N0
Pump Required:�es- �j No El May be required based on final location and elevations of facilities
,
Type of Water Supply: ❑ Community El Public ❑ Well Distance from well 10 V feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:
The issuance of this permit by the fields Department in no way guarantees to
site is subject to revocation if the site plan, plat or the intended use changes. The Imp
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: s s
SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their Requiremenn. This
tament 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 shill be met Systems shall be installed in accordance
With the attached system layout
ISSUED TO: Ga.- YN om6S I � r, PROPERTY LOCADON: -N~
�JFSJ� '��SUBDIVISION i-Tic�av �laC LOT# �S
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes -1 No Basement Fixtures? ❑ es lo
Type of Wastewater System'* Qu en0 �S�vG' G N 'SYY C6t^ (Initial) Wastewater Flow: 3L0 GPD
(See note below, if applicable ❑)
Q ctiQ
m �� L EXU (Repair)
Installation Requirements/Conditions
Number of trenches t -A
Septic Tank Size v o o cz? gallons
Exact length of each trench O feet
Pump Tank Size 1 0(:!:> G gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 3O^11(�K inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: H. TON vs.
GPM
Conditions:
Trench Spacing: 01 Feet on Center
Soil Cover. )'R i hes
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified it different from the type specified on the application. / accept the spedAcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorizadon is subject to avocation 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 Authorsons li with the p Lsiom of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: PQ'%5 Date: v' 3a 25'
on tion Authorization Expiration Date: 1 3 Ci227
NTE# L� Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: \I r; SUBDIVISION Pt rose ss. C LOT #
Authorized State Agent: l S (ot),4Fra otrsooQy Date: t�1j�hS
0
a -?4,
to 16Q�
I zCp° R 1
A4Gfl �
µou56
3A
VA `2FO� 0 *—,)v 6
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIASITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 (HCl c^ Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Methb—&P 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%
Horiwn
Depth
(in.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minenalogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Honz
LS
a•5
Cy30
G S
vFD V-11 (NO
(� ta6
53 ��c1—
RL �isQ
10 -7
B 5
l
ps
Description Initial Repair System Other Factors (.1946):
SysteW Site Classification (.1948):
Available Space .1945 Evaluated By: ry�\
System T e(s J191, Others Present:
Site LTAR
c6U Q, 30 -»'