IPACHTE# Harnett County Department of Public Health 28739
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
\` `` PROPERTY LOCATION: R Ct)Na- 5 M�
ISSUED G��.QIIICXC' [lAll�i NeW6L SUBDIVISION 9s at NA-�L5 LOT# 2
NEW REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: "UM G60 ^4QDt�—_
Proposed Wastewater System Type: Z.S°/o riWVC7�Id J J' sE+r1
Projected Daily Flow: SSod GPD
Number of bedrooms: 3 Number of Occupants: Ca max
Basement ❑Yes ';Sl_,No
Pump Required: ❑Yes , No ❑ May be required based on Final location and elevations of facilities )<
Type of Water Supply: ❑ Community °� Public ❑ Well Distance from well 1 0`Z) feet Permit valid for. <Five years
Permit conditions: ❑ No expiration
Authorized State Agent: � `>L� Date: 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees he.isS uce of other permits. The permit hol er is re onsible for chinking 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 Imp ent permit shall not be affected by a change in ownership of the site. This permit is subject in compliance with the prmisians of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The constriction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this pencil and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: C3 -N25aw \G -C y 91 PROPERTY LOCATION: �(Z'kian
l SUBDIVISION Pl a G_ LOT # CL
Facility Type: �`���� `6�/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes Zk No Basement Fixtures? ❑ Yes 'No
Type of Wastewater System" g � "ate R60ycsS1 0 s d 1 y5%m (Initial) Wastewater Flow: `11Z G GPD
(See note below, if applicable ❑) N
�a
W-6�) . Sr (Repair)
Installation Requirements/Conditions
Number of trenches 11i—
Septic Tank Size k O o G gallons
Exact length of each trench '75 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. h 'aA inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing. 1 Feet on Center
Soil Cover. C - sa inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
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.
**If applicable: / understand the system type specified is different from the type specified on the application. / acrnpt the rpecAcationr of this peimit
Owner/legal Representative tures Date:
This Constriction Authorization -'Cs\subject m o n i ire plan, Out or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of The site. This
comtmction Authorization is sual[Z compliance " isi of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent \ 2L-1 Date:
nstrdction Authorization Expiration Date:
HTE# 1 6 - S Permit # ;~a—) 3
Harnett County Department of Public Health
Site Sketch
\ \1 PROPERTY LOCATON:
ISSUED TO: c c `y011b 1 1�1\L SUBDIVISION LOT # 2
Authorized State Agent: Date: �i
Department of Environment, Health and Natural Resources
Division of Environmental Health
on-site Wastewater Section
i� SOIL/SITEEVALUATION
( for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility Q3 M_ W) DesignFlow(.1949):36 C
Location of Site: Property Recorded:
Water Supply: y'J�lyublic❑ Individual ❑ Well
Evaluation MethodAug& Bdring ElPit ❑ Cut
Type of Wastewater: -i�j 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 °/
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structural
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Calor
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
L5
'ik�6PS
sax CL
J?
1
lQ
>P 5
SgkC4
FtS�
ppyj
2h
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):P�
Available Space (.1945) Evaluated By: O-�
Sstem T e(s)- / Others Present: —
Site LTAR 3 • J