IPACHTE4V1 'S X1035 Harnett County Department of Public Health 29445
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit p
PROPERTY LOCATION: �aLL 1—"'t F�
ISSUED TO: Ci Cva.SSS V4 C' SUBDIVISION 5-e EMtjj>XW, LOT#
NEW REPAIR 11PANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S cD CS'S ^QC _
Proposed Wastewater System Type: `�° G ?'Eci J CY t is N �Ws) Fy'
Projected Daily Flow: 3b0 GPDNu
Number of bedrooms: mber of Occupants: max
Basement []Yes
Pump Required: ❑Ye
Type of Water Supply:
Permit conditions:
No
so ❑ May be required based on final location and elevations of facilities
❑ Community "& Public ❑ Well Distance from well feet
Permit valid for. Five years
❑ No expiration
Authorized State Agent.: Wa Date: a? 1 �7I �7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t h ce of other permit. The permit holder 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 Imp snrent 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 requirement of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1950. and .1959 are incorporated by references into this permit and shall be met. Systems shall he installed in xcordance
with the attached system layout
ISSUED TO: ��LS�N �G C�oNS4 . LN Cs, PROPERTY LOCATION: Wvtt 1—vc-P6
SUBDIVISION 7SweGNwf,SE2 LOT# 'SQ -
Facility Type: SSS? CSS J16<D New ❑ Expansion ❑ Repair
Basement? ❑ Yes 4St No ^Basement Fix res? ❑ Yes A No
Type of Wastewater System** e`S0/o VG1>UflSS o,9J SyS�%CGtn (Initial) Wastewater Flow: X560 GPD
(See note below, if applicable ❑)
?-En• (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Siz( gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench a'VU feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: =L`" inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
Trench Spacing: I Feet on Center
Soil Cover. fa. -3 a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type speciled /r different from the type speciled on the application. / accept the rpecificati= of this permit
Owner/Legal Representative Signature: Date
This Construction An bect to revocation 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 Authorization is been to cc Act a revisions 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,,TiS
Construction Authorization Ezoiration Date: '�' 1—t "xd�
HTE# �'C73S Permit # Z -i ')% 5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: W t L -L- L -U LA S
ISSUED TO: � C- C�n1j1 .,NC SUBDIVISION SwC_G-SwPTEtZ \ LOT#Sa
Authorized State A¢ent�\��LwEti�Oe4�0(iF> Date:
1 � a65
I � 1
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: BOQ.M Design Flow ( 1949):3'�65e tJ
Location of Site: y Property Recorded:
Water Supply: ' L] -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%
Horizon
Depth
(In.)
SOILMORPHOLOGY
.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
G
ra 3Q
-*)4 SLLL
Description Initial 4Rcpair
ym Other Factors (.1946):
System/ te Classification (.1948
):B�a'r)
Available Space(. Evaluated B_y
System Type(s) 5
Others Present: '�r
Site LTAR t S