IPACHTE# I7-5-LIi9e1-6 Harnett County Department of Public Health 29548
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
/� PROPERTY LOCATION: N Rvv Al4 0 I n p,% t
ISSUED TO:�cLEG1s+0eJ L—U3Tdgw1 NA550%CS SUBDIVISION SVew+Qr4.1.1,4 LOT# )�
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S Fb iS`p '«l Z
Proposed Wastewater System jpe: Q J o QC51caNYSS&_rw,
Projected Daily Flow: LK Q GPD
Number of bedrooms: L+ Number of Occupants: g max
Basement ❑Yes XNo
Pump Required: ❑Yes .Ito ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '�9, Public ❑ Well Distance from well feet Permit valid for Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e of other permits. The permit hold, is responsible lar 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 Impro lent 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.
Pump Requirements: ft. TDH vs. GPM
Conditions: fl a V�t3+ (;C:LP4;�-f L -fn !
inches below pipe
Aggregate Depth: inches above pipe
i2 OS inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if 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 Authorizai n is subject m e vi he provisions 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 )9 -1
0nstruction Authorization Expiration Date: I4
Construction Authorization
(Required for Building Permit)
The construction 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 he installed in accordance
with the attached system layout.
o
ISSUED TO: ` 1�EG1s+0 r t
�_,5 PROPERTY LOCATION: ND+VDim O � RA) a—
!
�'�150 '�
SUBDIVISION 5 v mc*1f1r Ls v LOT #
Facility Type:
New ❑ Expansion ❑ Repair
Basement? D Yes �X No Basement Fixtures? ❑ Yes ❑ N
Type of Wastewater System** 9-S
REpyc;�\ ON 1o;Et(N (Initial) Wastewater Flow: 4`30 GPD
(See note below, if applicable ❑)('�
YJ ) 0 9.,5'Je 994 SY
cote_
, _ (Repair)
Installation Requirements/Conditions
Number of trenches S
Septic Tank Size 10 o d gallons
Exact length of each trench 3 00 feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a Soil Cover. inches
_�
Maximum Trench Depth of: S 6 inches 1 (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 4' 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: fl a V�t3+ (;C:LP4;�-f L -fn !
inches below pipe
Aggregate Depth: inches above pipe
i2 OS inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if 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 Authorizai n is subject m e vi he provisions 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 )9 -1
0nstruction Authorization Expiration Date: I4
HTE# 1 -1 -5--LA )9 °I � Permit # a.. s4ZL
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: N P cA1-t 0 t (L> %% ,
ISSUED T0: �2Ec N CUSTOM NonE7> SUBDIVISION LOT #
Authorized State Agent: - �gUvf�L 10L FSDOQ} Date: $ 1Q I li
aLo'
An,Gp, 1 Hov�E
APflcaaE lap,
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Metho0 uger Bon g El pit El Cut
Type of Wastewater: --f�QSewage ❑ 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
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapm
Class
.1944
Restr
Horiz
L5
s-�
G 5
vc n ns1 Ke
4- as
os��
ss�i
Fels?
C2,
Description Initial Rep System Other Factors (.1946):
S ste Site Classification (.1948):?5
Available Space (.1945) Evaluated By: CP%
System Type(s) Others Present: .�
Site LTAR