IPACHTE# 11-7'Sz-1)431 Harnett County Department of Public Health 29664
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: O USS l'
ISSUED TO: OflKOS(� �"9 ��1GQ L SUBDIVISION MgM G ScT z o6E LOT #
NEWX REPAIR ❑ C PANSION [I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFD Q3 y TOA J
Proposed Wastewater System Type: Q.5% Cp uG,atlNSy�TLdv�
Projected Daily Flow: 7-fyzP GPD
Number of bedrooms: L—\ Number of Occupants: Amax
Basement ❑Yes X No
Pump Required: Dyes ❑ No May be required based on Final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 6) I `► SEE ATFACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t caghold
e of other permits. The permit er is responsible lor 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 linjnulatizent 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 commuction and installation requirements of Rules .1958, .1957, .1954, .1955, .1956, AM, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the atuched system layout
ISSUED TO: _� �TVGCTSP� ) PsN9 ",mNc-R-S PROPERTY LOCATION:
S�-Ql3a SUBDIVISION TMtxn+G C9_t_ ND6E LOT # q7A
Facility Type: New ❑ Expansion ElRepair
Basement? ❑ Yes '�R No Basement Fixtures? [I Yes No
Type of Wastewater System"` a 5% atiC9JCTa o IV I-v5,GM (Initial) Wastewater Flow: 1-�`aO GPD
(See note below, if applicable ❑) C `
a�j %q CA • �.rp , (Repair)
Installation Requirements/Conditions Number of trenches )
Septic Tank Size s Ozoo gallons Exact length of eachtrenchtrench d feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of:_ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: SCA 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 spedfled it different from the type rpedfled on the app/izaGon. / aaept the rpecifiadons of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the sire 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 issuhjectYa—oomph ca�asvilh_t rovisism of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: \T5 Date: 6
Constru 'en Authorization Expiration Date:
HTE# X7'5- y1L)3 Permit # agC6-
Harnett County Department of Public Health
ISSUED TO:
Authorized S
Site Sketch
PROPERTY LOCATON: r-9 \7a1
rr SUBDIVISION�*m G �GLL_ 41 o6C LOT #'i"1f\
IS �VL)'Gr -`ioL�s�� Date: 6 k 0Ill) 7
T 47.
V�
1 ALO EN liO rJ),
-�, by
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: 6 7�✓
Proposed Facility: U "^ Design Flow (.1949): LksO!0
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method Augerp -Bng [I pit E) cut
�-Io '
Type of Wastewater: JH' 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Rear
Horiz
LS
2 ,5�
p b
6 LS
v5n > s�vp
�-1.,,
s3 K C.-.
F71 S P
P5
C L5
vR, M-5
S� 3G
�giC- G
('tel SfT
"j
3b
��
j
D 31
G 5
�n hs�NQ
J
Ts
1_5
a�
�B 3�
53K 56L
t) -sl?
� 1
3a
?nn
g
O -t
GLS
NS '4
--",4 1
'i3'9 Cc
5.
Description Initial Repair System Other Factors (.1946):
S stemSite Classification (.1948): e5
Available Space .1945) 7Z Evaluated By: WC
System Type(s) j. ¢6) 3_Z2 �' Others Present:
Site LTAR 44