IPACHTE# Harnett County Department of Public Health 29802
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: `4 P"" G MP54t6R,
ISSUED TO: �--� N G s �` OFy 3 + LJo »a r 1A SUBDIVISION �� c.� P6) n 1A LOT # a
NEWX REPAIR ❑ EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MgN "omQ (�k'���Jxtas3�
Proposed Wastewater System Type: a5�. 1 G J.sUCi load Svs�Er
Projected Daily Flow: 'a.140 GPD
Number of bedrooms: Number of Occupants: ax
Basement ❑Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
—�R No ❑ May be required based on final location and elevations of facilities
❑ Community X Public ❑ Well Distance from well Feet Permit valid for. "Xive years
❑ No expiration
Authorized State Agent: v Date: V 11-;)'0 ) 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Deparonent in no way guano suance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject m revocation if the site plan, plat, or the intended use changes. yrovement 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 requirement of Rules .1958, .1952, .1954, .1955, .1956, .1951, .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. p
ISSUED T0: '"ry G u �v F'J5 4 acyn 9 PROPERTY LOTION: \^1 k"V14 E X41.50 Q2
/ SUBDIVISION EP. Gyr 'V -A LOT # ag)
Facility Type: M AV . ko rrG `7111�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2,5°h9 Rf—.vuCPT T 0 4.5 Sy S'S ESM (Initial) Wastewater Flow: aid GPD
(See note below, if applicable ❑)
Conditions:
Trench Spacing: i Feet on Center
Soil Cover: rft— Y -h, 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 from the type spedfled on the application. / accept the rpecihcationr of this permit.
Signature:
Date:
This Combustion Autho is subject to reroation 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 Authorisation is y\ect to co a with rovisiom of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: !�� f115�1%5 Date: �l
Authorization ExDiration Date:
(Repair)
Installation Requirements/Conditions
Number of trenches a
Septic Tank Size s O (n O gallons
Exact length of each trench 7 5 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: V% ,ali inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: i Feet on Center
Soil Cover: rft— Y -h, 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 from the type spedfled on the application. / accept the rpecihcationr of this permit.
Signature:
Date:
This Combustion Autho is subject to reroation 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 Authorisation is y\ect to co a with rovisiom of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: !�� f115�1%5 Date: �l
Authorization ExDiration Date:
HTE# I --?'5— L-)-,Lt°o �
Permit # a'a0a.
Harnett County Depailment of 1'riblic Health
Site Sketcli
n PROPERTYLOCATON: `)P1 voc. Mha6p,N bQ.
ISSUED T0: L- "VFv� pC7ty A / SUBDIVISION Pr -k Ez,
1 LOT #
Authorized State Agent: Date: tT 011I
—T
GfLySSD L POOL, C
a
z
6
J
4
4
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): '2LL
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethodAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: Se age ❑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
UC)
Sgy 5CL
T2
y5
5 )
c�
�5
6 L
Description Initial Repair System Other Factors (.1946): 3
S st Site Classification (.1948):
Available Space (.1945) V Evaluated By:
System Type(s) Q.&D Others Present:
Site LTAR _ 4