IPACHTE#) 7 -SLI) 60A Harnett County Department of Public Health 29671
Improvement Permit
\ t A building permit cannot be issued with only an mprovement Perml
ISSUED TO: r`r FS>,Y6rI., \ACI .) PROPERTY LOCATION: �2,F rt, �j
NEW SUBDIVISION LOT # 1
REPAIR ❑ EXPANSION ❑
Type of Structure: _start, wl or% �oatrJu �4c Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: g L,
Projected Daily Flow: 2 LJ 0 GPD
Number of bedrooms: `a Number of Occupants: 'T max
Basement []Yes :6-0
Pump Required: ❑Yes �KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community /�K Public ❑ Well Distance from well
Permit conditions: Net Permit valid for. Five years
❑ No expiration
Authorized State Agent: Date: '7 -7 l
The issuance of this permit by the Health Department in no way guarantees the of other permitx The permit holder is resp Bible for checkingwith appropriate SEE ATTACHED SITE SKETCH
site is subject to revocation if the site plan, plat. or the intended use changes. The Impro t Permit shall not be affected by a change in ownership of the ite, This permit isgubject 0 complliancebodies in meetingheiwithethe provisions;ibis
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
ono
with thee attache
The caattached system layout and installation requirements of Rules .1950..1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
atb`_
ISSUED TO: �6o�IC�C_ )AOMG.3 PROPERTY LOCATION:
SUBDIVISION LOT # 1
Facility type: HTLN w1 a $Dctsn-5 `�/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes -1< No Basement Fixtures? ❑ Yes�No
Type of Wastewater System** zyy E tJS p N AL,
(See note below, if applicable 11)(Initial) Wastewater Flow: a� d GPD
Installation Requirements/Conditions
°^y D` L (Repair)
Number of trenches 4
Septic Tank Size Looy gallons
Exact length of each trench 60 feet
Pump Tank Sizegallons
Trenches shall be installed on contour at a
Maximum Trench Depth of inches
(Trench bottoms shall be level to +/.I/4"
Pump Requirements: ft. TDH vs.
in all directions)
_ GPM
Conditions:
Trench Spacing: i Feet on Center
Soil Cover. G- Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable /understand the ryrtem type rperi6ed 7i different !rom the type rpea6ed on the app/i�abon. / a�rept the rpeci��atioar of thir permit.
Owner/Legal Representative Signature:
Date:
This Conslrunian Authori:aaon so revocation if the site plan, plat, or the intended use changes. The Connruction Authorintion shaH not be transferred when there h a change in ownership of the site. This
Construction Audhoriution is subjen ro n the provisions of the Laws and Rules for Sewage ireatm t and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: -7
[onstruction Authorization Expiration Date:
HTE# Permit # a�G�
Harnett County Department of blic Health
Site Sketch
ISSUED TO:� �d F r_ 4Zo MEs PROPERTY LOCATON:
SUBDIVISION — LOT #
Authorized State Agent:
31-7
`* Q. —r a N
� qN�
Date: —7 17117
' .3rj e
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: 11
Address: Date Evaluated: -7 %
Proposed Facility: .1. Et Ogq.!0 Design Flow (.1949): a ZiZYST�
Location of Site: G%v r,.r Kt) Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Metho&KAu er Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
p
Landscape
Position/
Slope%
Horizon
Depth
(inJ
1941
Structure/
.1941.1943
Consistence
ZE
Soil
th (MJ
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
<AR
w
a
o as
s�
vaz ts)vP
^y3
G
RS P
est
Description
Initial
Other Factors (.1946):Site
Classification (.1948):Available
S ace .1945)
ERep,'Systenn
Evaluated By: (K
S stemT e(s)
G4 �✓
Others Present:
Site LTAR
r�
iLlwC GLS �✓ S1Z `nl � �\� CND