IPACHTE# I7 —54-)2f " Harnett County Department of Public Health 29722
Improvement Permit
A building permit cannot be issued with only an Improvement y�rmlt ,n
PROPERTY LOCATION: R41�teN mcxtc CD
ISSUED TO: K OS5 Jot, to r4 6 `' �fn— SUBDIVISION LOT # 6P,.
NEWX REPAIR ❑ PANSION ❑
Type of Structure: Mao (26%�^- I
Proposed Wastewater System Type:
Projected Daily Flow: 560 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes V No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well feet
Permit conditions:
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the issuanc
site is subject to revocation if the site plan, plat or the intended use changes. The Impri
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
Permit valid for:
,Five years
❑ No expiration
SEE ATTACHED SITE SKETCH
permits. The permit holderSs responsible for checking with appropnate governing bodies in meeting their requirements. This
Permit shall not be Acted by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 he met. Systems shall be installed in aaordance
with the amched system layout. t�n
ISSUED T0: RosS J Psu �r (�,rers>_ PROPERTY LOCATION: 'RP.Y6N �o�
SUBDIVISION LOT # GP
Facility Type: Moa (l.4Sf�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" C "'t& til tx N aV_ (Initial) Wastewater Flow: 340 GPD
(See note below, if applicable ❑)
�pNJGr�\4NAIL— (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size *,Oa d gallons Exact length of each trench ' °64 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: V% inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: `1 Feet on Center
Soil Cover: C- 11 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 IOFT. 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 spedbed /r different hom the type specibed on the apph?adon. / accept the spedhcationr o/this permit
Date:
This Construction Authorization is subject nation 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
Constmcnon Authonuti ubjen to co k co wit ovisions 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:
ol aS \�
CtkCtion Authorization Expiration Date: `t 'i5
HTE# � -S-'- a
Permit # 2c1
Harnett County Department of Public Health
Site Sketch
L PROPERTY LOCATON: R a�v6N Body— IZ�D
ISSUED TO: R04j! 4SQ�
o„� i PIM / SUBDIVISION j LOT #
Authorized State Agent: \�Z� �4LrvE2 rCno{(g Date:
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:
Proposed Facility: ?�
Location of Site:
Water Supply:
Evaluation Method:❑
Type of Wastewater:
Sheet:
Property ID:
Lot #:
File #:
Code:
Date Evaluated: '113-; 11
P,S"4^ Design Flow (.1949)- f X4 Property Size:
Property Recorded:
Publico Individual ❑ Well ❑ Spring
Auger Boring /js� Pit ❑ Cut
Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN . I
Sapro
Class
.1944
Restr
Horiz
VNrUl
Description Initial Repair System Other Factors (.1946):
system Site Classification (1948).4i
Available Space(. 1945) 1V Evaluated ByZt _
System Type(s) c.it 11 O.'r) "I Others Present:
SiteLTAR�