IPAC RRHTE# 1 5=11 -) `)3)4(z- Harnett County Department of Public Health 29819
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit c'�
PROPERTY LOCATION: t-Q,^QLs. Ss_P4z — QO.
ISSUED TO: GPfL;y SUBDIVISION LOT # 3�
NEWi5( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Tyle:e3zS a AK1,0 f
Projected Daily Flow: L-iri O GPD
Number of bedrooms: s -i Number of Occupants: max
Basement ❑Yes �i< No
Pump Required: []Yes "TR�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:: Date: )12 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guamn issuance of other permits. The permit holder is respdnsihle for checking with appropriate governing bodies in meeting their requirements. This
site is subject on revocation if the site pian, 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout g�
ISSUED T0: GPao oS) 'k." D,4 HOcnt-SPROPERTY LOCATION: LRI0�Lg�� D
SUBDIVISION G a5 C.SV LOT # 258
Facility Type: — 5FD i 5.z x 'IRr New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 7r5 0%o *?'e'OUCssYa 44 Sy5T (Initial) Wastewater Flow: 42 GPD
(See nate below, if applicable ❑)
�)O—W7-ti ��o 9-E3s• 579 (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size's ooU gallons Exact length of each trench 300 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 41 inches
Maximum Trench Depth of.. 1'? inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.1/4w 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: P&U,y-7, E>v,s(;c, �� �-zOPoSAL �(t,4rr �ce1�Gr�JTjS inches total
sb,�S�,Ea.FTr
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.
**If applicable: / onderstand the system type speciled is different from the type speciled on the applicatiaa / accept the cpecilcationr o/this permit.
Date:
This Construction Authorization is subject to ii tion if the site plan, plat or the intended use changes. The construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is sub�-complian th misiom 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:
Authorization Expiration Date:
NTE# 1^7- 5-'i 1'13) QQ, Permit # a'V d l `1
Harnett County Department of Public Health
Site Sketch
p PROPERTY LOCATON:la>1-ABY-
ISSUED TO: Cp�y wog wsoN NotinbS SUBDIVISION Ga cNeSi LOT #
Authorized State Agent: `� 4�Tv of wE0 To1v�9of Date: Ta11>'�i
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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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public[] Individual ❑ Well
Evaluation Method:❑ Auger 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
minerrIogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Site LTAR
11-3
Q,WA
o ao
�,•
`rtSY.
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Description Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948):
Available Space (. 1945)
Evaluated By:
System Type(s)
Others Present:
Site LTAR