IPACHTE# I- _ `+ ) Harnett County Department of Public Health 29730
Imarovement Permit
A building permit cannot be issued with only an�rovement P rmit
PROPERTY LOCATION: or✓Z
ISSUED TO: H N GO^'StgNLT °sL5 SUBDIVISION Oar.A-a.O,:,� LOT # 1';9�
NEWX REPAIR EIEISION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �� aa,fo
Proposed Wastewater System T � pe: Po—?- S _e RE9uc; toaN 575,
Projected Daily Flow: 40 GPD
Number of bedrooms: L+ Number of Occupants: $ max
Basement ❑Yes "KNo
Pump Required"Ules ❑ No ❑ May be required based on Final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: XFive years
Permit conditions: ❑ No expiration
Authorized State Agent: _ \� N5 Date: SOI 13 ) )i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is other permits. The permit holde is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is wbjett 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1950. 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: K A G0V,65,MJuo25 PROPERTY LOCATION: floc.O
SUBDIVISION QP tt w^ 0 9Q -c LOT # 5065
Facility Type: SFP Cst'x 6J� �K New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'TS� No t� Basement Fixtures? 11 Yes No
Type of Wastewater System** Yy M P � b '3-G'/ a Eo u i Gsj SV5 76-m (Initial) Wastewater Flow: Lid t3 GPD
(See note below, if applicable ❑)
p v Mp l d 8SY"o 12-E,5� 57 S (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size Ve O A gallons
Pump Tank Size t a C) d gallons
Pump Requirements: ft. TON vs.
Conditions:
Exact length of each trench Y S'O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 30' )c6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: 111- Lvinches
(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: l oadetstand the gatem type spealed it different from the type rpeciled on the application. / acrept the spec/lcadonr of this permit
Owner/Legal Representative Signature: Date:
This Coontrc tion u subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there i'.
Construction Awhori:atimhhsj`jett to - s` isions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Agent: Date: 10
v
action Authorization Expiration Date:
e in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# ,s_��3� 1 Permit # Z� `-�3 O
Harnett County Department of ll�iblic Health
Site Sketch
/' PROPERTY LO(ATON: flOC,5
ISSUED TO: H' V) (Z -j tN CA Q ru, SUBDIVISION C)P ry O sTj LOT # 1$5
N3 �%
Authorized State Agent:2�YiS `9�wFA �Ol—�S� d(�) Date: LSI
NL`p��1fR�+GUL p�t�vG
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: 3 602"'` Design Flow (.1949):0 P
Location of Site: Property Recorded:
Water Supply: VPublicEl Individual ❑ Well
Evaluation Methodia Auer 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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
L5
5
a
v b
G 5
N5I �l
5 S
Description Initial Re it System Other Factors (.1946):
SysteVi T Site Classification (.1948):5
Available Space (.1945) Evaluated By: GN
System Type(s) 12 > Others Present:
Site LTAR ,Q
\X� �O c?. Z 0 - 0Z,