IPACHTE# '14 - s y �io6 Harnett County Department of Public Health 29331
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 31 U°) rJ L 7-10
N _
ISSUED T0/ n SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 24&2 5ip� f -:to + X --Cf c
Proposed Wastewater System Type: C.tan\o L;onc.\
Projected Daily Flow.24 d GPD
Number of bedrooms:A Number of Occupants: 4- max
Basement []Yes
Pump Required: ❑Yes ❑ No ❑ a`y bbe *quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community CJ4ubllc ❑ Well Distance from well feet Permit valid for.
Permit conditions:
lig<ive years
❑ No expiration
Authorized State Agent: 2 Date: C33 10+1 1 lq� SEE ATTACHED SITE SKETCH
The issuance of this permit bythe Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremenm. This
site is subject to revocation if the site plan, plat 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 taws 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, .19S2, .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: \ ; rn 3t. : u�(\ PROPERTY LOCATION: 3105 Nc, Zt o ,Q
SUBDIVISION LOT #
Facility Type: 3 62 Std � -4y -A 2 --New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ GNo
Type of Wastewater System" COC�VPlI� .d[)py� JJ I 6z(x::,, (Initial) Wastewater Flow: —�— GPD
(See note below, if applicable ❑)
l (Repair)
Installation Requirements/Conditions Number of t nches `Z
Septic Tank Size /c-& gallons
Pump Tank Size gallons
Exact length of each trench (IS feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 24— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TUN vs. GPM
Conditions:
Trench Spacing: �` Feet on Center
Soil (over. /Z inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING 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
17— inches total
**If applicable: / understand the tyttem type rpeafyed it different from the type fpeciled an the app/ication. / accept the rpecilcatiom of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, 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 Authonaanon IS subject to Compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AI IALXLU SIZE )KETCH
Authorized State Agent: �� ��--!1_� Date: o� I
Construction Authorization Expiration Date: 03
HTE# - 5- y 0$06 Permit # I Ci 3 3 1
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON: 3 10 9 zJG 21 O rJ
ISSUED TO: T 1 M Y3 r" t'-6rN SUBDIVISION / LOT #
Authorized State Agent: —�`i%�i�� 2�.f�S Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
1;1_'�7
Owner:/)i,ffi4 Applicant:
Address: $Ia1 ^ c vv n. Date Evaluated:
Proposed Facility: We 3GdO Design Flow (.1949): ZOO,'
Location of Site: ni.. Zi a N� Property Recorded: /W
,.,�,
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:�er Bori - ❑Pit ❑Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: /q ��
❑ Spring ❑ Other
❑ Mixed
P
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#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
,1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946):
System-, Site Classification (.1948): �ic,✓ifirm/j 5�%+i4
Available Space (.1945) We, Evaluated By:
System Type(s) -w Rel . 2510 Others Present:
Site LTAR 0.16 0. 35