IPACHTE# 1("-53`1 OY'J Harnett County Department of Public Health 28912
Improvement Permit
A building permit cannot be issued with only an Ina movement Pe
PROPERTY LOCATION: i..�Ocs9
ISSUED T0: SUBDIVISION ?P71-1 1 0 cats VO s y LOT # GZL
NEWX REPAIR ❑ EnISION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sr0 (.t-N-�"C:vO
Proposed Wastewater System Type: 2S0/wa RCA VBCf SI�
Projected Daily flow: 3 (O GPD
Number of bedrooms: 3? Number of Occupants: max
Basement ❑YesNo
Pump Required: ❑Yes No Elbe required based on final location and elevations of facilities
Ma
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 C7)() feet Permit valid for. Five years
Permit conditions: `\� _❑`�lo expiration
Authorized State Agent: a\ �- S Date: �a 6 SEE ATTACHED SITE SKETCH
The iguana of this permit by the Health Department in no way guarantees the issue other permits. The permit holder is n onsihle for checking with appropriate governing bodies in meeting their requirements. This
site is subject a revocation if the sin 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 compliana with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Reauired 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 he met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: �vz _ + �` "l -No r-5 PROPERTY LOCATION: C) an� O,o
SUBDIVISION �P 750,,55 eis N� LOT # 6a
Facility Type: -3 Ley x�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes �X No Basement Fixtures? ❑ Yes 'X No
Type of Wastewater System"`c� S-010 REOULSs 0 r (Initial) Wastewater Flow: 36 GPD
(See note below, if applicable ❑)
Conditions:
Trench Spacin: q feet on (enter
Soil (over: ail 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / underrand the tyrtem type Jpetihed is different ham the type upedhed on the app/nation. / acrept the tperifftatiom o/th/r permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiatio_revocation if the site plan, plat, or the intended use changes. The construction Authori ation shall not be transferred when them is a change in ownership of the site. This
Construction Authorization u subist2 compliance tori of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: -LS Date: 30 �b
o ion Authorization Expiration Date: 6 30 a )
Pv(Y-vp'TO
a5 /a )- (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size 40 d
gallons
Exact length of each trench 2C0 feet
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of.. 3%-a.O inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements:
h. TDM vs.
GPM
Conditions:
Trench Spacin: q feet on (enter
Soil (over: ail 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / underrand the tyrtem type Jpetihed is different ham the type upedhed on the app/nation. / acrept the tperifftatiom o/th/r permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiatio_revocation if the site plan, plat, or the intended use changes. The construction Authori ation shall not be transferred when them is a change in ownership of the site. This
Construction Authorization u subist2 compliance tori of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: -LS Date: 30 �b
o ion Authorization Expiration Date: 6 30 a )
HTE# �� �_3e�p�3 Permit #
Harnett Comite Depailinent of hiblic Health
Site Sketch
PROPERTY LOCATON: fl oc,S 1pl-0
ISSUED TO: CL omC-5 SUBDIVISION PA>> 0 w- Y v i wT LOT # G—a—
Authorized State Agent: REr�S
-)-i &L "toti (Sao Date: �I 0114
t00
QL6
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: 3 994 cc Design Flow (.1949):UCC
Location of Site: Property Recorded:
Water Supply: Public[:] Individual El well
Evaluation Metbo�Auger Bo 'ng ❑ Pit ❑ Cut
Type of Wastewater: -❑.. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
7—
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
Horiz
�S
b- 5
6-�y
� s
� � i•,tQ
2
0 -46
G
Description Initial Repair System Other Factors (.1946)x`
System Site Classification (.19481 �
Available Space(. 1945) Evaluated By:
System T e(s o-. l3 U PN; I Others Present:
Site LTAR 'S