IPACHTE# S�' S� 11 q�� Harnett County Department of Public Health 29698
Improvement Permit
A building permit cannot be issued with only an Improvement Perrmlt
PROPERTY LOCATION: Ngf.CAL Ipgva_
ISSUED TO: 1,4 �—VStot� ��Ottif�j SUBDIVISION Sva+t*+G¢,t_vr.l
LOT #
NEW REPAIR ❑ �,�P ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCSXS 0 �iC1 /
Proposed Wastewater System Type: JPu ws1e 10 is u i�Ewx_—,s oN S y5.
Projected Daily Flow: 3Z0 GPDNu
Number of bedrooms: mber of Occupants: max
Basement ❑Yes �K No
Pump Required:Wes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well feet Permit valid for.Five years
Permit conditions: ❑ No expiration
Authorized State Agent: qzf Date: 0-h/0 11'7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees source of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site b subject to revocation if the site plan, plat, or the intended use changes. The provennsm 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 .1950, .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:Pocr. )A0t�&s PROPERTY LOCATION: �4AGr6 `rap�S_
SUBDIVISION S U a M6xtt_y�a LOT #—
facility Type: SFb1,so New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? El Yes El No
Type of Wastewater System" PueesQ�dS
o fa 9ZOLrZ Tv0,i S13 Em (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)?U"4_11 c'
U" 10 1Slo R6D. S-vS. (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size soo"es gallons Exact length of each trench 275 feet Trench Spacing: `I Feet on Center
Pump Tank Size c 03 gallons Trenches shall be installed on contour at a Soil Cover. fe inches
Maximum Trench Depth of: N% inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM inches below pipe
t� Aggregate Depth: inches above pipe
Conditions:r..< gtx,Ga QaJ P2oPOSAt_�zrSen 1'�PPING4�ni� S•ti Scs a55yY inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speciled is different from the type speahed on the app/icatioa / accept the rpecih'cations of this permit.
uwner9t.egal Representative Signature: Date
This Construction Autho mbjea to revoutfon if the site plan, plat or the intended use changes. The construction Authorization shall rot be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to comp h t revisions 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: 8 1 1
o soction Authorization ExDiration Date: 4 % ba
NTE# �—)' S—LW\ Yt3 Permit # a)(a'A
ISSUED TO:
Authorized State Agent:
Harnett County Department of 11�iblic Health
Site Sketch
PROPERTY LOCATON:
%M&5 SUBDIVISION 5 to L.N LOT #
\\�a�S LowyffL - OI -f- bDate: ri
APACHE'Tc2qt 4
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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: l
Proposed Facility: 39ygQ/" Design Flow (.1949): Cs 6
Location of Site: Property Recorded:
Water Supply: -Public[] Individual ❑ Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ 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 (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
5
036
C. 5
-qq) ti3�
15 M
-Ate- 6L4
�n xs1s P
P5
Y
Description Initial tRepair jSystem Other Factors (.1946):
System Site Classification (.1948):Pf
Available Space(. 1945) Evaluated By:Q('
S stem T e(s) P o nQ- Others Present:
Site LTAR . �N ILA