IPACHTE# il__7_51'_' T � Harnett County Department of Public Health 29446
hDrovement Permit
A building permit cannot be issued with only an Imyrov mum, Permit 9
\ PROPERTY LOCATION: W a>,a_ Cn GIa S i�0
ISSUED T0: i� i LP N S l L 4 Ly C SUBDIVISION S , gc6sw wCES2 LOT # ro I
NEW'K REPAIR ❑ EMPA ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SIF 42 (6! " "
Proposed Wastewater System Type: a Sa R��cx r e _. 'Sq+5 e,'
Projected Daily Flow: 310 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement []Yes ^No
Pump Required: Dyes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ^Public ❑ Well Distance from well feet Permit valid for. ''Fire years
Permit conditiow� _ ❑ No expiration
Authorized State Agent:: T
The issuance of this permit by the Health Department in no way guarantees ce
site is subject to revocation if the site plan, plat, or the intended use changes. The
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
of other persons. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
ement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1951, .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: Ai c.. Co 457 G PROPERTY LOCATION: \a) 11-1- LvGAa
SUBDIVISION 5 w EG'T -4 A, E0— LOT #
Facility Type: 5 wo �5 S '�60� L New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 19,110
Type of Wastewater System** a.S'!ecAves oN S�SiGrn (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Sys_ (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size Lona gallons Exact length of each trench ZyD
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 4g' S-'
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
feet Trench Spacing: Feet on (enter
Soil (over. inches
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: / otlderrtand the system type specified is different from the type xpeciled on the app/irution. / accept the rpedfca#017S of thiJ permit
Date:
This Construction Authorization is s revocation if the site plan, plot, 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 0wo comps visions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ti 17 17
instruction Authorization Expiration Date: W 7
HTE -51 L1 103'% Permit # a`�L13 f (-
Harnett
Harnett County Department of Ynblic Health
Site Sketch
ISSUED TO:
Authorized '
PROPERTY LOLATON: WALL Loc -Q,-2
SUBDIVISION S wrACEQ_ LOT #_
L -N! ((y�Date: Ll
V --a L Ly Cl .
31
l
'
V --a L Ly Cl .
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:��SX1.t� Design Flow (.1949)3pdxd
Location of Site: Property Recorded:
Water Supply: >:�ublic❑ Ind/ dual ❑ Well
Evaluation Method:[] Auger
Boring it ❑cut
Type of Wastewater: �$ewage industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wemess/
Color
.1943.1956
Soil
Depth M.
Sapro
Class
.1944
Restr
Horiz
�1 •
G
5
VFh �b�nq
P 5
a
Description Initial i5zs
ystem Other Factors (.1946):
System Site Classification (.1948): 15
Available Space (.1945) Evaluated By: 0' <
System T s) Others Present: �-
Site LTAR ..�