IPACHTE#1e-5Harnett County Department of Public Health 28909
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 3V tvo PrL/�
ISSUED TO: GN7C—.s s 2.01A C 1 N L SUBDIVISION 1 a N 66�v 90 NlG LOT #a-4
NEWX REPAIR & H ANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: °>1qO eL "3$
Proposed Wastewater System TJpe: Po r -(F 9S10 R: . V(i.tOtd SrsTGm
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: 4D max
Basement ❑Yes WNo
Pump Required."Wes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well T b O feet Permit valid for. _><Five years
Permit conditions: _ ❑ Ao expiration
Authorized State Agent:: \ Date: foo- 1 i6 SEE ATTACHED SITE SKETCH
The issuance of This permit by the Health Department in no way guarantees the issuan f other permits. the permit holder is respo able (or checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site pian, 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 Disposal and m conditions of this permit.
Construction Authorization
Reauired for Buildin¢ Permit
The construction and installation requirements o1 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
ISSUED TO: C.4'� Gs �v NLQ1eA C LNG PROPERTY LOCATION: u NrJ V2
1 SUBDIVISION LOT # �,
Facility Type: `JFO L3 call' New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�3< No Basement Fixtures? ❑ Yes X'No
Type of Wastewater System** 9 S'� ,C-0 VCT t Vwsy5 L— UmC'J (Initial) Wastewater Flow: 3C O GPD
(See note below, if applicable ❑) �
Q FD . S-iS , CPu ne ) (Repair)
Installation Rhe uirements/Conditions Number of trenches N
Septic Tank Size t o 0 o gallons Exact length of each trench a. c g feet
Pump Tank Size '� o c) ") gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: �1 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 65 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the sXcem type speah'ed it different hom the type specified on the app/kation. / accept the speribcationr o/ this permit
Construction Authorization is
Authorized State Agent:
at or the intended use changes. The Construction Authomatum shall not be tranderr
the laws and Rules for Sewage Treatment and Disposal and to the conditions of this
1
�» Date: 6
Cons ction Authorization Expiration Date: _
Date:
SEE ATTACHED SITE SKETCH
NTE# 1 .fir ��Sa Permit # a',�1 dc1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:_ J u,.vo Oa -
ISSUED T0: Ca 5 ° U91N c N G SUBDIVISION ro G E N �o N- C. LOT # t� i
Authorized State Agent Date: 6 6
Iy�
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: 36C��
Proposed Facility: I Q>�qDesign Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho�Auger Bo ' g ❑ Pit ❑Cut
Type of Wastewater: ��] ewage ❑ 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
Structure(
Texture
.1941
Consistence
Mineralogy
.1942
Soil
wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Honz
4 F
Q e(3
LS
VS)N'o
3S
Pn
Description Initial Repa' System Other Factors (.1946):
S ste Site Classification (.1948)?5
Available Space (.1945) Evaluated By: p�
System Type(s)) Others Present:
Site LTAR > S