IPAC RHTE# 1-7- 5=4cH 53 Q Harnett County Department of Public . Ath 29141
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
\` PROPERTY LOCATION: C-oKEzgyC�1 9M.— )i—km t-
ISSUED TO: —�) P.`4 c.% t Y'LO NNe P)(La s SUBDIVISION (:,C)) VCIr/ Pao LOT # _
NEW REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S�C� iU0 rat--tci�
Proposed Wastewater System Type: gum 1 0 2S' o �WvCSsoN
Projected Daily Flow: 3 60 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes XNo
Pump Required:Ves ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well 0 feet Permit valid for.Five years
Permit conditions: — ❑ No expiration
Authorized State Agent: :2SV Date:v �� 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the t e of other permits. The permit hof er is respmnsihle for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat w the intended use changes. The r ment Permitshal`l�ye altered by a change in ownership of the site. This permit is subject to compliance with the previsions of
the Saws and Rules for Sewage Treatment and Disposal and to conditions of this
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1959. 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: "(fmc- ?CX --5 PROPERTY LOCATION: Coy—as%Qci`i PPc-e,, L Nr --
SUBDIVISION COYL%Va4 LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes '3Z No Basement Fixtures? ❑Yes 720oType of Wastewater System** PyenN (
Q 0 l-� % / r RGovGS; Ord Sys 7 Gen (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Poa,e_ la (Repair)
Installation Requirements/Conditions Number of trenches -")
Septic Tank Size s o e v gallons Exact length of each trench S feet Trench Spacing: Feet on Center
Pump Tank Size s o in a gallons Trenches shall be installed on contour at a Soil (over. 6 inches
Maximum Trench Depth oL 1$-'a0 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: h. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: Y b Go VLfy- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type spedfed on the app/icadon. / accept the specifications of this permit
Owner/legal Repr motive Signature: Date:
This Comtucusin Authorization is su revo don 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 Authorinugok f subiecf s mpliance w visions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit. SEE ATTACHED SITE SKETCH
V 7- Date: _
v I Vn"S Con ruction Authorization Expiration Date:
HTE# Permit# SLi)
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LO(ATON: Cai�EY3V(L/ nP,� LN
ISSUED T0: r SUBDIVISION GoicL V2, YP2C LOT # 55
Authorized State Agent Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Semon
SORJSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant
Address: Dau Evaluated:
Proposed Facility: 3 Q 9CZS\ Design Flow (.1949)360
Location of Site: Property Recorded:
Water Supply. -c Public❑ Individual ❑ Well
Evaluation McdW:Q Auger Boling ❑ Pit ❑ Cut
Type of Wastewater.'DSewage ❑ Industrial Process
Sheet:
Property ID:
Lot i1:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
Repair System
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
L
E
N
Landscape
Position/
Slope%
mon
Depth
(In.)
.1941
Strucnm!
Texture
.1941
Cowistmoe
M'
.1942
Soil
Wetness/
Calor
.1943
Sol
.1956
Sapm
Class
.1944
Restr
Hmir
Profile
Clary
R LTAR
Site LTAR
a
0.36
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PJB
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Cin 5515r
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Description
Repair System
Other Factors (.1946):
Site Classification (.1948):Available
S e .1945
N�N
Evaluated By: C�S
emT 9
I VtiTQP �y]. ,I
�/D Others Present:
Site LTAR
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