IPAC 72NTE# I�; 5 - 9 '�l7TD, Harnett County Department of Public Health 29898
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I �5 S,,.A\som P`\ac� (C lufG�- CL,'. Sts. 1)c�t�
ISSUED TO: ,vrYlch C�j rf\ � �S SUBDIVISION Cv c�r� Q�chie.�cL'w-N LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 332 G'3 s y
Proposed Wastewater System Type: 09,; 6 a,r.
Projected Daily Flow: 3 Ce 0 GPD
Number of bedrooms: Number of Occupants: L max
Basement ❑Yes RIO
Pump Required: Dyes ❑ NoCYlgay b'red based on final location and elevations of facilities
Type of Water Supply: ❑ Community PL�J' ublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
d-Fty —years
❑ No expiration
Authorized State Agents �_�_����i� Date: CCS d1 I :QC.A A SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Depammnt in no way guanmees the issuance of other 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 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 taws and Rules for Sewage Treatment and Disposal and m conditions of this permit..
Construction Authorization
Required for Building Permit
The construction and installation requirements 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 aaordana
with the attached system layout c.
'd1. 11 of l
ISSUED T0: Lir' co PROPERTY LOCATION: ) 3 S Sou�,s¢llt Plat���lariL4Lc��
SUBDIVISION C\-> c -c-: 9 is �-AF \-in& LOT #
Facility Type: Y 3;- GYNE❑ Expansion ❑ Repair
Basement? ❑ Yes CYNo Basement Fixtures.? ❑ Yes ❑ No
Type of Wastewater System** 'a 5 % (Zes1 o n 5 a s . (Initial) Wastewater Flow: 3 G Cl GPD
(See note below, if applicable ❑)
Q6%:1
S. • . (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size L L'YX> gallons
Exact length of each trench �5 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: �_ inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: (t. TDM vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. Imo, inches
(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.
tiAQ1 inches below pipe
— inches above pipe
—� inches total
**If applicable: / owdeatand the system type speciled is different from the type speciled nn the application. / accept the specifications of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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 Authorization is subject to compliance with the provisions 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: 0Car,
Construction Authorization Expiration Date: v31—biiii
HTE# 1�5--S -y3*a?-7�
Permit # C 17t pa&
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: I-Af, 5cxAwcn 6>la[2 Cwc r`C (Z�. 5R- 11z�
ISSUED TO: G1cLL SUBDIVISION Gvrc:n 01-fAcAA:c, j! LOT # 34 -
Authorized State Agent: Date:
v3 t51 laot2s
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: U PACO C..�S .ti to I
Address: L- cc, rn PU„t k,,i, tu) Date Evaluated: o94'011p_
Proposed Facility: L. -V 3 Design Flow (.1949):.��6�
Location of Site: roperty Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger Bo ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: (pb /off ^-
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(in.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
th(IN.
Depth (IN .
Sapro
Class
.1944
Restr
Horiz
L
CW_ L-_-
W -t NAe
PS
a
L4
0_i
GI-
Description Initial Repadr Se Other Factors (.1946):
System Site Classification (.1948): 19Q),) iS (un • 1 j 5— � 4r b t-0
Available Space (.1945) Evaluated By: 1�
System Ts 5` Others Present: t'tn[i rP.�
Site LTAR p,