IPACHTE# Harnett County Department of Public Health 28758
Improvement Permit
A building permit cannot be issued with only an Im�ement "641
PROPERTY LOCATION: JUw 0
ISSUED TO: GSGs wNLQtNG e— SUBDIVISION RSNG6N Yssaea—,G. LOT #)
NEW. REPAIR ❑ EK�NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SG -fl (L ( f1.IJ5"J
Proposed Wastewater System Type: 2 S0/o �GoyCS tlr J��
Projected Daily Flow: 3Q)0 GPD
Number of bedrooms: % Number of Occupants: max
Basement ❑Yes XI No
Pump Required: ❑Yes 41(No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -0 Public ❑ Well Distance from well 1Q0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: :w\ Date: 3�4 ]lb SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the arse of other permits. The permit holder is re ponsible 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 Mr Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .1957, .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
ISSUED TO: _ GANLS PROPERTY LOCATION: -ZvNo 0Q -
SUBDIVISION —TI
2SUBDIVISION—T> ucG POSNTG LOT # 17
Facility Type: °SYD `ycTa--Lj �Nr New ❑ Expansion ❑ Repair
Basement? ❑ Yes IiZ No Basement Fixtures? ❑ Yes
Type of Wastewater System" coZS°/w 12fovCG'Cloay (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) aSo`o
Q -1r. 0 , S -)'S (Repair)
Installation Requirements/Conditions Number of trenches T
Septic Tank Size T 01ZD2) gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench a.—Qt,S feet
Trenches shall be installed on contour at a
Maximum Trench Depth of I,% inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( 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 /rem the type specified on the app/ic2cim.. / accept the speabcatioms o/thir permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plats plat or the intended use changes. The Construction Authorization shall not be transferred when there u a change in ownership of the site. This
Construction Authorization is mbject to with"[WMvisisms of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 5 Date: 3 s L
truction Authorization Expiration Date: dT
HTE# I(�—, — 5 3-7`lPermit # 51
Harnett (Minty Department of Pnhlie Health
Site Sketch
PROPERTY LOCATON: -ZV M(3
ISSUED TO: C -!Sl t LOw � wG (_ SUBDIVISION L I N G&N Po ) y 6 LOT # S 11
Authorized State Agent: ����� �6oJ ioL50oSjg Date: 3 ��
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: c�N C�QC2 VN Design Flow (.1949):3 V exd� Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring
Evaluation Method Aug ing ❑ Pit ❑ Cut
Type of Wastewater:) Sewage ❑ Industrial Process ❑ 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 W.
.1956
Sapro
Class
.1944
Restr
Horiz
LS
0_0
s l
Yin Q
J 3 36
Ss�c s�
L -1)01 -d -p
�' S
2
Cr 16
G
Description Initial Repair System I Other Factors (.1946):
System Site Classification (.1948): Q�
Available Space( 1945) Evaluated By:p'�
System Type(s) Others Present: ti
Site LTAR