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IPACHTE# I7 'Sr'��lu� Harnett County Department of Public Health 29713 Imarovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Gf q"-.5 13a,v L ISSUED TO: �e,L,GO Q4.etA<-liC)DrS'NG SUBDIVISION \A,a-b Ens I--AYQ1--, LOT #aSh NEW PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: REPAIR,C] Type of Structure: S F'O C K -Td D Proposed Wastewater System Type: 'x.5;7, 'p-EDuvc to .3 mss E".i Projected Daily Flow: (rC9 GPD Number of bedrooms: 5 Number of Occupants: 10 max Basement ❑Yes XNo Pump Required: ❑Yes ❑ No mal May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community '15K Public ❑ Well Distance from well feet Permit valid for: 'Five years Permit conditions: ❑ No expiration Authorized State Agent: ��`�� t+5 Date: q� 13' 3•1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guaranmes t e uance of other permits. The permit holder u 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 Improvement 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 squired for Building Permit) The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance with the attached system layout. ISSUED T0: `AGz s ca0 C-10N5aAVci 'll-Nt, PROPERTY LOCATION: C-*'Pa453 ii) GL; I SUBDIVISION 1-1 ,onEN L- P%,&6_5 LOT # aSli\ Facility Type: bF� C>}b�xso� -)3< New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes E14: Type of Wastewater System** !4,S u/4 'kFpyGisaN isSSt" (Initial) Wastewater Flow: (o© O GPD (See note below, if applicable ❑) �S �� o �� Sy 5 • (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size 115 O gallons Exact length of each trench 3 1 S feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. %'%" � inches (Trench bottoms shall be level to +1.1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: O� Feet on (enter Soil Cover: C-Y.�, inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. inches below pipe inches above pipe inches total **If applicable• / understand the sateen type speciled is different from the type speciled on the application. / accept the specifications of this pemtit. Owner/Legal Representative Signature: Date This Construction Authorization u su revo n if the site plan, plat or the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authoriutio 'subject to co i e visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: I;w Date: °I 13 1 1 �truction Authorization Expiration Date: k1 13 2a— HTE# -5"1,�11LA4 Permit # �3 Harnett County Department of Public Health Site Slietch PROPERTY LOCATON: C -i QC ISSUED T0: r-- SUBDIVISION N -oot;N S—a,4C5 LOT #a�P� Authorized State Agent 95 �t �Vf11�olYSDO Date: 101 15S" do � z C`JP62SS off LeE 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: ''� 1 Proposed Facility: S'�` � Design Flow (.1949): 600 Location of Site: Property Recorded: Water Supply: In Publico Individual ❑ Well Evaluation Metho Auger Boring Pit Cut Type of Wastewat� El �. 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 Restr Horiz 1 Lf s''� 0 3© C 5 �o�ts .X a L 0 � 5 vF11 N5�^rf 5t V36 sgk <; 5 P5 ' Description Initial Repair System Other Factors (.1946): f5 System Site Classification (.1948): 6 Available Space(. 1945) Evaluated By: A 1 System Type(s)__X S J� I2 Others Present: Site LTAR , 4 \x31$- C )3-2'-.