IPAC RHTE# I Harnett County Department of Public Health 28925
hDrovement Permit
A building permit cannot be issued with only an Imp{o�vemL
en—
PROPERTY LOCATION: M "'°rte
ISSUED TO: �! YOf ��c+G(1� 0 �l SUBDIVISION GtiYoC Ro�crtso N LOT #
NEWi>t' REPAIR 0 rfxPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _� P,a. lILtl'nZ ll I—V—Ab C)�
Proposed Wastewater System Type: �'S f r Rev c,
Projected Daily Flow: 3 re0 GPD
Number of bedrooms: , 2 Number of Occupants: max
Basement ❑Yes ';KNo
Pump Required: []Yes X No ❑ May be required based on final location and elevations of facilities ��,,//""
Type of Water Supply: ❑ Community *� Public El Well Distance from well \ O feet Permit valid for. �v�.dive years
Permit conditions: ❑ No expiration
Authorized State Agent:: 7 Date:' I`6 I b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is resp.. le far 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 it subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to condition, of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954..1955, .1956, .1951, .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: Gy -doe✓ K o.T,C�Tv3 'o PROPERTY LOCATION: 1 a`l' f.,J
SUBDIVISIONCLyoE P`Ta(-11--ae J LOT # L-1_
Facility Type: �C1mECti'`]OI New ❑ Expansion ❑ Repair
Basement? ❑ Yes 7�5< No Basemeept Fixtures? ❑ Yes -I No
Type of Wastewater System** o RC -D -i 1 G YJ S 75 SCS (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) gy
U �tu a� ( c (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 1004 gallons Exact length of each trench 'Z 'ID feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on ctour at a Soil Cover. a4 inches
Maximum Trench Depth of: _ 34% 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: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / undeatatvd the system type speciffed it different from the type specified an the applicadoa / accept the speciffcationr of this permit
Date:
construction Authorization is
intended use changes. The Construction Authorialion shah not be handler;
and Rules far Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: \ "5 Date: '1
Construction uthorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# VC* Permit Permit # 2LlcD5
Harnett County Department of 1'ublic Health
Site _'ketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: n L( -O- ovv N
SUBDIVISION GLyOP—a7C-2sa%-t LOT #
nu\Oy t Ow, tD
tai
��a'6llt
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 ���� Design Flow (.1949):>/
�
Location of Site: Property Recorded:
Water Supply: Public❑ Individual C3Well
Evaluation Methr,Auger Bormg ❑ Pit ❑ Cut
Type of Wastewater: ,Sewage El 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
Minetalogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Rest
Horiz
u
�•
ys
1W
C 5 t_
Yin -tD
1L+40
�iX.S(1_
PL S3�5Q
45
' 4'
f5�j
la
V 5L
v
Description Initial R air System Other Factors (.1946): 2
S st Site Classification (.1948): i J
Available Space (.1945) Evaluated By:
System Type(s)) o 1/ Others Present: �-
Site LTAR '