IPACHTE# ib 5-3`l�o Harnett County Department of Public Health 29103
Improvement Permit
A building permit cannot be issued with only an Improvement Pit p
\ PROPERTY LOCATION: 1Ra5SFji1(1>s,,, �.D
ISSUED T0: W rcPJl EfL 1�0 n6 -:,N r— SUBDIVISION P 1TMAU X055 \ 4 L LOT # 1.5
NEWZ\ REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFQ d S3
Proposed Wastewater System Type: Z. -'5'j o G1GG6nVG ao*a Sytatx+
Projected Daily Flow: 3fO0 GPD
Number of bedrooms: _�_ Number of Occupants: -C max
Basement []Yes e"`I&No
Pump Required: ❑Yes -,!K No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community El
❑ Well Distance from well feet Permit valid for. )K(ive years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: l O)'lC. I f b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permit. The permit holder responsilde 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 changes. The Improvement rmit 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 to conditions of this permit.
Construction Authorization
Required 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 be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 'A E�PvvC/1. 1Aoc"PROPERTY LOCATION: 1PNo55\asMAsJ Q�D
Ss O SUBDIVISION �vCacnr„� ssvNC, LOT # t5
Facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System** _Q S°!o "NC�uvGA ON JTL`K` (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
�-S�Le �Eo. SSS• �QU.P� (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t Oo O gallons Exact length of each trench 1 6 o feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C, inches
Maximum Trench Depth of. 1tZ 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the t}rtem type rpealed it different hom the type tpeciled on the app/icadon. / accept the rpenfddenr of thii permit
Owner/Legal Representaf a Signature: Date:
This Construction Authorisation is subject ro ' n if the site plan, plat or the intended use changes. The construction Authorisation shall not be transferred when there is a change in ownership of the site. This
Conmuction Authirmati o compliance with -'ane of t s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: v -11N v Date: L
Construction uthorization Expiration Date:
NTE# IG-5'3`1��o Permit # a5103
Harnett County Department of Miblic Health
Site Sketch
\ PROPERTY LOEATON: ROSGE,L T ITjr�Sav
ISSUED TO: 1 l0 ES 1 t L SUBDIVISION Pt lP P'l,\ Sw G LOT # 15
Authorized State Agent: Qui 1S �t 'SCA �OLxSfrJDate:
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 00fLt' Design Flow (.1949).36'x0
Location of Site:Property Recorded:
Water Supply: public❑ Individual ❑ Well
Evaluation Method:❑ AuSerBoring Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mixed
Cl Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOH, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mmeralo
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
1
is
�O 13
0-13
G sr,
LIOAK
Description Initial Repair System Other Factors (. 1946)-
systertf Site Classification (A 948)P
AvailableS ace(.1945) V Evaluated By:
S stem T s v V reQ Others Present: 9.$
Site LIAR