IPACHTE# (5!319
Harnett County Department of Public Health 29402
Improveme_
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: MP�2� ��[� iDus9AG2 PROPERTY LOCATION: C-j'1ww 9_0GEo
S SUBDIVISION M fA2ttss 91 PcE
REPAIR ❑ LOT #
NE ( EXPANSION ❑
Type of Structure: $ECS C,c.�'x6tj Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: Vurne-To rIS&I. %P_ -6,
Projected Daily Flow: LM O GPD
Number of bedrooms: W Number of Occupants: max
Basement ❑Yes ;Ko
Pump Required-VYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L O V
Permit conditions: feet Permit valid for. XFive yeah
Is ❑ No expiration
Authorized State Agent.:
Date: 2 1 SEE ATTACHED SITE SKETCH
The Tswana of this permit by the Health Deparunent in no way guarantees the in a( other permits. The permit holder is responsible for checking with appropriate goreming bodies in meeting their requirements. This
site is s and to revocation g the site plan, plate or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage treatment and Dupmal and m conditions of this permit..
Construction Authorization
(Required for Bu____ ildiop p4 ermitl
The construction and em layout requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: t 2LL� Tt_h' c.E g U WEQ.fSPROP�1ERTY LOCATION: 1 sra6�u �p
Facility Type: SCp b ti x 6O� SUBDIVISION Y ei F12CCsi 11 tAC L LOT # 5
New �❑" Expansion ❑ Repair
Basement? ❑ Yes 1 No Basement Fixtures? ❑Yes ~�'0
Type o Wastewater System le Qv rhQ Q'S 6/ e �� tris Ohl Sys—Lr
(See note below, if applicable ❑) (Initial) Wastewater Flow: 0 GPD
Installation
ksa e -o EL
Requirements/Conditions
'ts L_ oc.-f�
(Repair)
Septic Tank
Size s o 0 o gallons
Number of trenches I
Exact length of each trench
w1 SO feet
Pump Tank
Size Loop gallons
Trenches shall be installed on
contour at a
Maximum Trench Depth of:
I$' a.-6 inches
(Trench bottoms shall be level
to +/.I/4"
in all directions)
Pump Requirements: ft. TDM vs. _ GPM
Conditions:
Trench Spacing: 01 Feet on Center
Soil Cover. 6 -1 C, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable- / understand the -SI'T type rpeciled it diNerem from the type roes led on the app/nation. / accept the rpeciltationr of this permit.
This Cons thin Authoriunon is subject to revocation i rte plan, plat, or the intended use changes. the Comuncnon Authorization shall not be transferred when cDhereeis a change in ownership of the site. This
Construction Authorization m complian ' h she prarisi the Laws and Rules far Sewage Treatment and Disposal and m the conditions of this erwhe
P P SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 2 is 17
Const' ion Authorization Expiration Date: 9LI iS a2
NTE# 5-yos�4,
Permit # a.5
Harnett County Department of Public Health
Site Sketch
ISSUED T0:1 PROPERTY LO[ATON:
L P� A�� ��" p SUBDIVISION T loo v Ln a)5�
(LOAuthorized State Agent I LwC'i _vDate: )1
ASA
.n
IS
as ss
P 0 V ;Z&k
IAOV56
I$
S C 0C- - Mp -,rte O CZ_
zm '
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): LN U ��
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:Auger Boring ❑ Pit ❑ Cut
Type of Wastewater. ---Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope %
Hwi
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
minerafty
.1942
Soil
wetness/
Color
.1943
Sorl
.1956
Sapm
Class
.1944
Restr
Hain
1p
3c -) 6
c-
-
>3X
-53y'
y
� m
C-
��
sgaz -
Description Initial R av System Other Factors (.1946):
Systew Site Classification (.I948):P S
Available S ce J.1945 Evaluated By:(O
Others Present: �.
Site LTAR —