IPACHTE #1-? -5-c4I b0 a Harnett County Department of Public Health 29655
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1 PROPERTY LOCATION: Fw,. aF;;b& Qfa vv E
ISSUED TO: wGP�VG - �orh[ SUBDIVISION Ps�nwwti CnnSenvr. LOT #�
NEW; REPAIR ❑ ER�NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: cv GO Eat r 3
Proposed Wastewater System tr Type: a. aybS Oro 'aysm\
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: Amax
Basement ❑Yes >�No
Pump Required: ❑Yes ❑ No ><May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Net Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: ��_ XlTai5 Date: 61 X311-1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ss other permits. The permit holder is 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 Improvem rmit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Sam and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The sommuction and installation requirements of Rules .1950, .1952, .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: WEg-'NGL din thC-5 PROPERTY LOCATION: FA7( O2Sv6
SUBDIVISION PsiishAti C a055�roG LOT # a0
Facility Type: SFO �6� x y New ❑ Expansion ❑ Repair
Basement? ❑ Yes �2 No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** S'�a li�'6Dvcxt •) Syg^Esc\ (Initial) Wastewater Flow: -140 GPD
(See note below, if applicable ❑)
d S% P%C-n, % b (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10 o b gallons Exact length of each trench G O feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 -inches
Maximum Trench Depth of: \S -a,4 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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.
*I( applicable / ondeatand the rystetn type specified it different from the type rpeciled on the application. / accept the specdcatfonr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca' 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 *Aa—10 compliance m e prov of the lam and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: *l Date: 6 7
Construction Authorization Expiration Date: ! X
HTE# 1-) -5-91 boa
Permit # W14SS'
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: aossFrZ- Pinvn ,4 91D
ISSUED T0: lEvv �amES i�,L SUBDIVISION Pr+TMw. o tint LOT # a 0
Authorized State Agent �9NJ of rcSDo(TT Date: 6� �3� �T
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OQ,NG-
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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: 11 `
Proposed Facility: '� 602 M Design Flow (.1949): `36 05CC
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Boring El
❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (MJ
.1956
Sapro
Class
.1944
Restr
Horiz
LS
0-36
G SL
YrA
'
P$
1
d_ta`t
G s t_
� *�:�*s0
� • �
03L
Sg 1c sc i
Pry s3�.1(�
P5
•S
Description Initial Rep 'r System Other Factors (.1946):
Systegr Site Classification (.1948):f-5
Available Space(. 1945) Evaluated By:O'N'
System T e(s) la Y Com. v Others Present:
Site LTAR • t