IPACHTE# I&—S•Harnett County Department of Public Health 28754
Improvement Permit
A building permit cannot be issued with only an Im(y�rovement PerJgit
PROPERTY LOCATION: C.5
ISSUED TO: ) +N C -0"t '-iCLV G'sy rt'5 SUBDIVISION Osaw,+�o W—' LOT # 113
NEW- REPAIR ❑ f%�ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 9 ��T jeLt6
Proposed Wastewater System Type: Q-57& s�-EAuQ<1V.A.1 -/�
Projected Daily Flow: t-1'60 GPD
Number of bedrooms: t-1 Number of Occupants: max
Basement []Yes -�*No
Pump Required: ❑Yes �No ❑ May be required based on final location and elevatio s of fajilities
Type of Water Supply: ElCommunity M. Public ElWell Distance from well 1feet Permit valid for. XFive years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: Date: Z a`i I So SEE ATTACHED SITE SKETCH
The iswanre of this permit by the Health Deparunent in no way guarantees the issu rhes permits. The permit holder is respon ible 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 Deposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Mules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 1-' C _o Nyt CW CT CJQ> PROPERTY LOCATION: flocs
SUBDIVISION O F LMO rd l LOT # 13
Facility Type:
'54z:fl C-9 t '"-s O-) -1! New ❑ Expansion ❑ Repair
Basement? ❑ Yes
Type of Wastewater System**
(See note below, if applicable
No Basement Fixtures? ❑ Yes A No
9 S Va Qr-z o Gr, v U 3J Sy5 'oaf (Initial) Wastewater
Flow: X80 GPD
ci-tt' ` o
X60 - GrIS
(Repair)
Installation Requirements/Conditions
Number of trenches L)
Septic Tank Size t n <:) Q gallons
Exact length of each trench '%5 feet
Trench Spacing Feet on Center
Pump Tank Size gallons
Trenches shall be installed on
contour at a
Soil Cover. inches
Maximum Trench Depth of
S$ inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level
to +/-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: fL TON vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / ondenvird the system ope spedfed is different from the type rpeciffed on the application. l accept the spedfcations of this permit.
M
Date:
not
Construction Authorization is subject to mm h the prnaifuns of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Agent: :� ::! y\ Vie) 6 Date:
Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
NTE# I(o-S-37`12
ISSUED TO:
Authorized State Agent:
Permit # Zrj 5
Harnett County Department of Pablic Health
Site Sketch n
PROPERTY LOCATON: C)oc.s L,
C-0 vs , tUeTUeLS SUBDIVISION Oa, olq-'V LOT # S 3
(oi 6L io( rR31 Date: a1�4) 1G
t1
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: 41 Design Flow (.1949): L�
Location of Site: Property Recorded: Y
Water Supply: Public[] Individual ❑ Well
Evaluation Method: b_�Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: NI-lewage ❑ 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
1y,04
4.5
eG
is a
O-ld
G sL
to \C
say C -2-
-2-
Q)
G 5
V N�vQ
ss -i
36
s�sx C
3�
'16
B
Description Initial Repair System Other Factors (.1946):
Systevit Site Classification (.1948):,C S
Available Space(. 1945) Evaluated By: f -d -C
System Type(s) D, w Others Present:
Site LTAR S35
t9z C' 1i3 C" DU7vNPAIL =)of
SR "