IPACHTE# Harnett (ounty Department of Public Health 29805
Iwrovement Permit
A building permit cannot be issued with only an Improvement Pembit
P L� eN PROPERTY LOCATION: vat 15.0
ISSUED T0: ph V L SUBDIVISION Qp+ u V L�vn i LOT #
NEW REPAIR ❑ JANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SGfl k--1T'xs-6•
Proposed Wastewater System Type: 'XG-16 &Z t2,iot h • e Sy LM
Projected Daily Flow: (-CO GPD
Number of bedrooms: 5 Number of Occupants: L --Max
Basement ❑Yes No
Pump Required: ❑Yes 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. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: DateSEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i her permits. The permit holder is 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 Improve n ermit 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, .1951, .1954, .1955, .1956, .1957, .1956. 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: P(-NUa- or A PROPERTY LOCATION: r CLo
SUBDIVISION P R U L Ly o N LOT #
Facility Type: Sc'p ( 1 i x5 New ❑ Expansion ❑ Repair
Basement? ❑ Yes �K No Basement futures? ❑ Yes ❑ No
Type of Wastewater System`* 85`x. l�fovcn) on1 Sys;Ect\ (Initial) Wastewater Flow: 600 GPD
(See note below, if applicable ❑)
e
o,S Lo
REpvS2-Do„r S—/S. (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size 4>7 O Q) gallons
Exact length of each trench 3 7 S feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 14 2 0 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs.
GPM
Conditions:
Trench Spacin: 01 Feet on Center
Soil Cover: 'C'u—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 ryrtem type speciled is different from the type speciled on the app/kation. / accept the specifications of this permit.
Signature:
This Construction Authonzation.js sub'ea to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transfer
s
Construction Authorization is , b to scampi the pr s of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: 415 Date: )
Con rtt * IT Authorization Expiration Date:
Date:
e in ownership of the site. Thh
SEE ATTACHED SITE SKETCH
NTE# Y1— 5-L4'�.45G
Permit # a9YQ5
Harnett County Department of 11�tblic Health
Site Sketch
P
ISSUED TO: Y vi
L ! oN
PROPERTY LO(ATON: GQ.. cF )14P�
SUBDIVISION P(h L LYoti
LOT # 3
Authorized State Agent:
-117�zav i oLKs-0(i� Date:
j
-4Js;�
17Q
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: Eo_jpo_,�, Design Flow (.1949): 6Z�a
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Aug6 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 (IN I
.1956
Sapro
Class
.1944
Restr
Horiz
Site LTAR
LS
G
s9'c c
s/X
ld )2 tlde 35
Q5
(3 aU
G 5
14 �T
n
a34b
P2. sS%
oy2 �� 3l,
85
Description
Initial Repair System
Other Factors (.1946):
system,
Site Classification (.1948): <)
Available Space (.1945)
V
Evaluated By: O
System Type(s)
%<
Others Present:
Site LTAR