IPACNTE#1 (0'5:3—►—VA Harnett County Department of Public Health 28644
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Opo USy�\
ISSUED TO: CLPp Cy rM %e+ G5 SUBDIVISION — LOT # A
NEWW>( REPAIR ❑ EXNINSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5c -J `�O 7-7t—N"J
Proposed Wastewater System Type: Vv rrR l v L; t o r�
Projected Daily Flow: 5L0 GPD
Number of bedrooms:�mber of Occupants: to max
Basement ❑Yes X No
Pump Required�es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well �C, O� feet Permit valid for. Five years
Permit conditjon—� ❑ No expiration
Authorized State Agent: + Date: `i I I to SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees theis other permits. 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 Impro 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 phis permit.
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondeatand the system type spec led is different hvm the type spedled on the application. / accept the sperifCJ60ns o/ this permit.
Owner/Legal Repre ive Signature: Date:
This Construction Authorization is sulgett cation if the site plan, plat, or she intended use changes. The Consaucoo t Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization ii3Wicct m comolian "isions of the laws and Rules for Sewaee Treatment and Disposal and to the conditions of this mrmit SEE ATTACHED SITE SKETCH
Authorized State Agent: --"'W�N' :��
� RlcohS Date:
Authorization Expiration Date:
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
st
ISSUED TO: C7Qj>0 UMCV%
CS PROPERTY LOCATION: O7
o u5y��
Facility Type: LZ-70�x—Z
SUBDIVISION
XNew ❑ Expansion ❑ Repair
— LOT # P L_
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Jtk
Type of Wastewater System" PvMP
/;KN�o "�
� v QXS-- o QMH N \ y n
(Initial) Wastewater Flow: 3CO GPD
(See note below, if applicable ❑)
Q
cc e/O
vn+?
o " Cg (Repair)
Installation Requirements/(onditions
Number of trenches 3
Septic Tank Size too — gallons
Exact length of each trench L O O feet
Trench Spacing: Feet on (enter
Pump Tank Size LO CO's gallons
Trenches shall be installed on contour at a
Soil (over. ro— 10 inches
Maximum Trench Depth of: inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4"
36' above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondeatand the system type spec led is different hvm the type spedled on the application. / accept the sperifCJ60ns o/ this permit.
Owner/Legal Repre ive Signature: Date:
This Construction Authorization is sulgett cation if the site plan, plat, or she intended use changes. The Consaucoo t Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization ii3Wicct m comolian "isions of the laws and Rules for Sewaee Treatment and Disposal and to the conditions of this mrmit SEE ATTACHED SITE SKETCH
Authorized State Agent: --"'W�N' :��
� RlcohS Date:
Authorization Expiration Date:
HTE# 16- 5-37)—NH
Permit # 21;100(c4 y
Harnett County Department of 1"nblic Health
Site Sketch
�^ PROPERTY LOCATON:�
ISSUED TO: �Y+ ."J" crn N N G5 SUBDIVISION — I 11 LOT # A�
Authorized State Agent: S L1vEfL'TOLD Date:
ilr-
T
i0
4xi
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 Design Flow (.1949):-J't
Location of Site: Property Recorded:
Water Supply:ublic❑ Individual ❑ Well
Evaluation Metho&Q 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
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
16
Sg C SGL
S�
C1
5 Sc-
S){
�5
G
e ,
5�1LSG
3; -Ly
L
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Sace(.1945) 4 Evaluated By:
System Type(s) P V n$ a Others Present:
Site LTAR . 3