IPACHTE# 1 (b'5-39'70 Harnett County Department of Public Health 2903
Improvement Permit
A building permit cannot be issued with only an Improvemg Permit t�
PROPERTY LOCATION: 7S S iStep S s C Gtr E
ISSUED TO: i_ s 4 O sa. At—t SUBDIVISION LOT #
NEV-$;6 REPAIR Q EXPANSION ❑
Type of Structure: SCi� �O'�3� )
Proposed Wastewater System Type: Qgt5. a Eo V LS R 6 w 7 r�
Projected Daily flow: 3CcC) GPD
Number of bedrooms: '3 Number of Occupants: Co max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community :�< Public - Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: �Improvoefmoente
Date: a 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ishe permit holders respoos le for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changer. Thel not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Reauired for Buildine Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .19S7, .1958. and .1959 are incorporated by references raw this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: L.L "'Or,`% Q't-L PROPERTY LOCATION: iSS �P& t c finds E Q9
SUBDIVISION LOT #
Facility Type:
S� "3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes
Type of Wastewater System'*
(See note below, if applicable
No Basement Fixtures? ❑ Yes >�No
0l0 1� Eo vc,; a b rd S—/5' Cm (Initial) Wastewater Flow:
gS7x3 `z' --'a , S -/g_ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size L C7o O gallons Exact length of each trench S Sb feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: SQ inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
3�0 GPD
Trench Spacing: c) Feet on Center
Soil Cover: `6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 spea6ed it different from the type spealed on the application. / accept the rpedAcationr of this permit
Date:
This Construction Authorization o subject to rev the site pian, plat or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is su ' Io compliance the prop she Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: r Date: °I 6
ll
Consul tion Authorization Expiration Date:
NTE# 1�"53°�1O) �
Permit # W�03
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: -1 S;S G2w C--
ISSUED T0: L, O r L r SUBDIVISION LOT #
Authorized State Agent: lit �V (ti O��c50 V f6
i
Date:
^f0
s3L�U11
Q
WO0Z
LANG
i
Date:
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: � 39 (,n Design Flow (.1949): D w j
Location of Site: Property Recorded:
Water Supply:Public❑ Individual El well
Evaluation Meth Auger Bonng Cl Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
t
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
Wetncas/
Color
.1943
Soil
Depth M.
.1956
Sapw
Class
.1944
Reso
Horiz
Art
Description InitialRe air System Other Factors (.1946):
S stmt Site Classification (.1948): S
Available Space(. 19 5Evaluated By: @`C
System Type(s) J 2LD Others Present: L
Site LTAR • 'i