IPACHTE#17'5-4-4VA Harnett County Department of Public Health 29747
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
t�� PROPERTY LOCATION: 'S11.l-Lycos
ISSUED TO: to dLp%"-yl CG Q�4rAtACWCX6 -w SUBDIVISION sv4e&,i nssc�ffL LOT # a
NEW%f REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `J�Z'O 04IYnSD
Proposed Wastewater System Type: wa.S°/a Sy7TC-.Svc
Projected Daily Flow: LYc30 GPD
Number of bedrooms: s''s Number of Occupants: max
Basement []Yes 'XNo
Pump Required: []Yes �R No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 5k Public ❑ Well Distance from well feet Permit valid for.Five years
Permit conditions: ❑ o expiration
Authorized State Agent;: N5
The issuance of this permit by the Health Department in no way guarantees t k
site is subject to revocation if the site plan, plat or the intended use changes. The Impr
the laws and Rules far Sewage Treatment and Disposal and to conditions of this permit..
Date: R I
SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing holies in meeting their requirements. This
wement Permit shall not be affected 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 instillation requirements of Rules .1958, .1952, .1954, .1955, AM, .1957, .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: PROPERTY LOCATION: WaLL LycP%5 Rz,
SUBDIVISION SwSG'iwsn-T6CL LOT #
Facility Type: S 7005;-c A's 09 -i!� New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'fir No Basement fixtures? E] Yes 13 No
Type of Wastewater System** gSSVo RC -.g ic;TS 0—N S75(Initial) Wastewater Flow: Ai'8 0 GPD
(See note below, if applicable ❑) e
� �0 0.G9ur7S \t)wu SYsTEen (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size I o e U gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench a.z)b feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Li$ -be inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: �) Feet on Center
Soil Cover. 34' inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 system type specified is different hom the type specified on the app/ication. / accept the rpecilcations of this permit.
This Construction Authorirstion is subject
Construction Authorization is subiegsto c
Authorized State Agent
it the intended use changes. The construction Authorization shall not be transferred when
caws and Rules for Sewage Treatment and Disposal and to due conditions of this permit
CA5 j15 Date: \ T ;S
Cons oon Authorization Expiration Date: 1�
Date:
is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# I7,5-L-ia. og Permit # aei-7�4-)
Barnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: N 1LL L•v c, ,s P.b
ISSUED TO: 1 C-0 N`s',QVG'C 10 SUBDIVISION Sw Cay 6Z- LOT # a L
Authorized State Agent: TOL STS Date:
1-74 '
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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:
Proposed Facility: tAe)am , Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public[] Individual ElWell
Evaluation Mcthodd Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: --q 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
L - el
e a
0-)0
\
Y�l r1 �
1x30
Y sci_
S
IRA
Description Initial Repair System Other Factors (.1946):
S s m i Site Classification (.1948): Q S
Available Space (.1945) Evaluated By: f?�
System Type(s) 'a -S `b Others Present:
Site LTAR ,