IPACHTE# 1(--5.3`1W-1 Harnett County Department of Public Health 29013
Imorovement Permit
A building permit cannot be issued with only an fimprovemeaLLerns
PROPERTY LOCATION: �r1c�Es �wUc
ISSUED TO: c'no^i 19y L"'y 21 N SUBDIVISION LOT # 3
NEW, (q' 11"1"11
EPAIR 11EI�jPPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Mla,�,. )-Noc-,t_ Ca$ x6�
Proposed Wastewater %Gl0-4
Projected Daily Flow: m3E Y�T
E n
0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes �MNo
Pump Required: ❑Yes -"!!� No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1Cs (Z) feet+ Permit valid for. 1ve years
Permit conditions: ❑ o expiration
Authorized State Agent:: :!� Date: 51111b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the re of other permits The permit holder is sponsible for checking with appropriate goveming bodies in meeting their requirements. This
site is subject to revocation if the site plan. plat, or she intended use changes. The Imps went Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the lays and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shill be installed in atmrdante
with the anathed system layout
ISSUED T0: PROPERTY LOCATION:
SUBDIVISION LOT #3
Facility Type: M P rA , \A0 m& C'X� X New ❑ Expansion ❑ Repair
Basement? ❑ Yes �'K No Basement Fixtures? ❑ Yes )K No
Type of Wastewater System** 70 Reyue't ON (Initial) Wastewater flow: 360 GPD
(See note below, if applicable ❑)
�- °j0
575. (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size 140 o ri gallons
Exact length of each trench q C) feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: K -3d inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: Ginches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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, / understand the system type speriled it different from the type spelled on the app/halon. / accept the spec6eationr of this permit.
Owner/Legal
Construction Authorization
site plan, plat or the intended use changes. The Construction Autharuatian shall not be trensfere
s of the laws and Rules for Sewage Treatment and Disposal and he the conditions of this
Authorized State Agent: Date:
ruction Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# "5 3`1S-YLI Permit # Q.9NI
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: AmEs S(NLtD o
ISSUED TO: —7 'p -j 6L%H (1� SUBDIVISION LOT # 3
Authorized State Agent:
Date:
17j '
195�
N 0 M6
1W ��Gs -fl1Li ¢A
too,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 3b
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑Well
Evaluation Methodl4uger Boring ❑ Pit ❑ Cut
Type of Wastewater. Tj*wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
1956
Sapm
Class
.1944
Restr
Horiz
47rl
P5S
�
-2�
G LAS
VFR,v s ISP
argil
S:eL
Ci 5
-P5
Description Initial Repair System Other Factors (.1946):
S st m Site Classification (.1948): -FC
Available Space (.1945) Evaluated By: O,�
System Type s) Others Present: —
Site LTAR .. :�