IPACHTE# Harnett County Department of Public Health 29113
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: G R2c R,v
ISSUED TO: W4Z'-L-3_5 OEsNC.Nv du a z-9 SUBDIVISION GuracL L_GhmTc,Tsna.t LOT # 3'8
NEW)< REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: (5$n56J
Proposed Wastewater System Type: 7.S'/e PrcOUG:v o N Y>>CM
Projected Daily Flow: 3fo0 GPD
Number of bedrooms: 3 Number of Occupants: —C -max
Basement ❑YesXNo
Pump Required: []Yes ❑ No -(May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ;K Public ❑ Well Distance from well t O O feet Permit valid for. 'rs/five years
Permit conditions: ❑ No expiration
Authorized State Agent:: l _ Date: \ S 10 L SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department m no way guarantees t:;4'
" este of other permits. The permit holder is respell Bible 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 Imp, ment Permit 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 T0: 'NA CJ. Ls i)esv G H a u I Lo PROPERTY LOCATION: C z_Pg2�L K.D
SUBDIVISION CuLOT # 3i
Facility Type: G isD 'ted '+5'GD New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'C� No Basement Fixturry7 ❑ Yes IrkNo
Type of Wastewater System** aS a/oy.EOvyc L n fI Sy Z. ; C—.M (Initial) Wastewater Flow: 34 O GPD
(See note below, if applicable ❑)
b�o W'60• SyS_ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size s o o is gallons Exact length of each trench "7 C feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1`d inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Trench Spacing: c) Feet on Center
Soil (over. Ce 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: / amderstand the system type speciled is different from the type rpeciled on the app/ication. / accept the rp inih'cadoar of this permit.
Owner/Legal
Date:
This Construction Authorization is su 1 evocation if the site plan, 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 AutMrization is t m mmplian r ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent ,U}i5 Date: 11))0111;'
o�jon Authorization Expiration Date: tv 110 1
NTE# «S 3i °ILIa, Permit # QLG0 )3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Ct-9161`4—
ISSUED TO: G t9// SUBDIVISION GUc7,CL\ ti �A s t 0 d LOT # 3�
Authorized State Agent: �6> �Ql l Y l� iOl F59O Date: W o' 16
too
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: jL, �, (�� Design Flow (.1949}73-
,C
Location of Site: _�1..
Property Recorded:
Water Supply: public❑ Individual ❑Well
Evaluation Method;�qu Boring ❑ pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
SOI, MORPHOLOGY
.1940
OTHER
L
Landscape Horizon
.1941
PROFILE FACTORS
E
#
PositioN Depth1941
Slope % (In.) .
Structure/.1943
1941
Consistence
.1942
Soil
Wetness/ .1943 .1956
Profile
Texture
M, 10
Colar IN Salim
Class
Restr Class
Horiz
G sL
v��rl�
& LTAR
cz,
P -L 55)T
C-�
I„ P
1
OIS G st
V?:2.���tr
Description
Available
Initial Repair System Other Factors (.1946):
/
S ste Site Classification (.1948): '
S ace 1945)
.
S stem T
s)
Evaluated By: CK
Site LTAR
Others Present: