IPACHTE# Harnett County Department of Public Health 30001
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1`7 no s. o
ISSUED T0: H'Y3 Cooass2yc�ML., SUBDIVISION QP.+cs oy—C LOT# 'a-9 Ll
NEWX REPAIR 17 E�{P�NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S @ 03 = 631
Proposed Wastewater System Type: u M k 0 1 '-D'V5-TVm
Projected Daily Flow: QOO GPD
Number of bedrooms: S5 Number of Occupants: I 4L') max
Basement []YesL'S.No
Pump Required: ❑Yes ❑ No X, 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.: �� �� Fztt�� Date: =f )3 I i`s SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees he issuance of other permits. The permit holder is responnle 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 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
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
With the attacked system layout
ISSUED TO: H ` N Nxav Ct m Z> PROPERTY LOCATION: o G3 94D
SUBDIVISION V Pa 4—T LOT # a"i Li
Facility Type: '�G-0�3� �63� � New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ Nt
�g :E MTYPe of Wastewater System" 2S � n a (Initial) Wastewater Flow: CO
O GPD
(See note below, if applicable ❑) a
a -S la (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Sizey a 50 gallons Exact length of each trench aC70 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G . inches
Maximum Trench Depth of 1`% `aLi inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
"If applicable: / understand the system type specified /s different from the type specified on the application. / accept the rpecilcatiom of this permit.
This Construction AutlmfB
construction Authomation
Authorized State Agent:
Date:
plat or the intended use changes. The Construction Authoruation shall not be transferred when there i'.
of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
"f Date: 3 Y
tstruction Authorization Expiration Date: v 3 1 B'a
a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# '-,336°1 Permit # 3000 1
Harnett County Department of ll>iblic Health
Site Sketch
PROPERTY LOCATON: L7 cos
ISSUED TO: wa �Ny�Cf 1(L% ��rG. SUBDIVISION OP.,,FLma r\ LOT # W
Authorized State AgDate: 311 )3 I t8
eo0
A& -A
,
HDusE
3�"a63�
T � 3TC
71
c -
a.0 6 1
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: S gflert� Design Flow (.1949): l; O O JP�
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method AuBoring El Pit EI cut
Type of Wastewater: li 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
o-yY,
G
vin 05 J^
s g
Description Initial Repair System Other Factors (.1946):
Systelly Site Classification (.1948):5
Available Space (.1945) Evaluated By: M
System Type(s) 2 ! Others Present:
Site LTAR