IPACHTE# Ib--5-4oLsa'1 Harnett County Department of Public Health 2 91 3 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit n
PROPERTY LOCATION: gGi L- L i?�e+pI sS—T vW
ISSU€€D TO: �GQ(L) GS i SUBDIVISION LOT #
NEWS( REPAIR ❑ PANSION ❑
Type of Structure: 5 FfD C 4' nS6
Proposed Wastewater System Type: aS"/ o Rt:D%i G: a r N 2) Y5—,G.,
Projected Daily Flow: 3GC") GPD
Number of bedrooms: Number of Occupants: ks max
Basement ❑Yes AND
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 het
Permit conditions:
Permit valid for.
,€Five years
❑ No expiration
Authorized State Agent:: NS Date: s � S Itt�� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees s ncua a of other permits. The permit holder u responsible 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 Frilipr1mwent 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 TO: PROPERTY LOCATION:�v1E
/ SUBDIVISION LOT #
Facility Type: '5 V-0 `G 'xSC' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes �<Nfa
Type of Wastewater System'* 2 SV 0 'l\J1 ;1% 0 N -s ,,, Etc\ (Initial) Wastewater Flow:3�T) GPD
(See note below, if applicable ❑)
4Z) -S°/. RCSJ. S -'S. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size s no 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 60 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 11 • as inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: E,- Sd 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 srstem type speciled is different from the type speciled on the application. / accept the specifications of this permit
Date:
This construction Audim is subject to revamtian d the site pian, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is su�ct to cons ith the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �9 0`115 Date: _V!d
Construction Authorization Exairation Date: y
HTE# 16 5-LA0Permit # a3135
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: gEi1+6L +PPT 15� R9
ISSUED TO: 5—N SUBDIVISION 11 LOT #
Authorized State ADate: SIl 7
gEL1 E nlw FLPr w
Qo Y a- 11 �5 .
�O a-�I (SN— E�rvEa-
2.
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOMITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility. 3 of rq r. Design Flow (.1949): ? 6 (;X
Location of Site: Property Recorded:
Water Supply: PublicIndividual E-1well
Evaluation Metbl Augonng ❑ Pit ❑ Cut
Type of Wastewater sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
landscape
Position/
Slope %
Hurimn
Depth
(in.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
wetnesssi
Color
.1943
Soil
.1956
Sapro
Class
.1944
Rest
Hafiz
Profile
Class
& LTAR
1
ti.S
O .a
al
G S
VF. N5ti v
V-11
CQ
1"1 _bU
Sa 1c
�13
G -5
13 -')ii
�X�`�`
�n SyINP
ci�G 3.5
Description Initial Repair System Other Factors (.1946):
System/ Site Classification (.1948): elJ
Available S e .1945 Evaluated By: a <
System Type(s) Site LTAR Others Present.