IPACHTE# LA 14-10 Harnett County Department of Public Health 29535
Improvement Permit
A building permit cannot be issued with only an Improvement PermitPROPER/�-��
�g16�voaP r�y SUBDIVISION LOT
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ISSUED T0: 140
LOT# �-
NEW REPAIR ❑ EXPANSION ❑
Type of trutture:
Proposed Wastewater System Type: a+S°/e o n M a ttu 'S—/'3 r `E"n
Projected Daily Flow: 5r. Z) GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement (--]Yes �P40
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes✓o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "5K Public ❑ Well Distance from well feet Permit valid for. ❑ Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: ��� R� iS Date: G h 11`1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i ce of other permits. The permit holde�is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m 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 laws 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 .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in aaordanm
with the attached system layout.
ISSUED TO: =sICcyo2P% S P)R% PROPERTY LOCATION:'940 CY22ES5 (Z),4\JWQ\ Qo
SUBDIVISION LOT # r7
Facility Type: Meir �14 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes �No
Type of Wastewater System** 25 /0 pvcr, 0 I 3—\N— W\ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) wSol
• SyS. (Repair)
Installation Rhe uirements/Conditions Number of trenches t
Septic Tank Size 10 o ':Z) gallons
Pump Tank Size gallons
Pump Requirements: h. TDH vs.
Conditions:
Exact length of each trench 3 00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 1-% inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on center
Soil Cover: 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�a applicable, /understand the system type rperiTed is diNerent !roto the type speared on the application. / accept the specilcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is su I vaca '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 Authorizatio - ct �a compfimn of the Laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: la Date: 6 it
Con's011ttion Authorization Expiration Date: 6 -z
HTE# S51411D Permit # a5S3S
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: "%'-)O C;10� s.5 C --,A V Qc;r+ � O
ISSUED T0: Zs ,�aP. ae.,-4// SUBDIVISION LOT #
Authorized State Agent:a6��SWz.wCL-T0uspom)) Date:
D
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c� NovSE
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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
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 'a, g®Q."N Design Flow (.1949):3/Uj
Location of Site: Property Recorded:
Water Supply: Publico Individual ❑ Well
Evaluation Method. Augr Boring ❑ Pit F1 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.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
minendogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.
Sapro
Class
.1944
Rear
Horiz
I
X6
0
G
3a
-x Sri-
581, C-
Description Initial Repair System Other Factors (.1946):
Systetw Site Classification (.1948): P'S
Available Space (.1945) Evaluated By:
System Type( s)
Others Present:
Site LTAR . 3