IPACHTE# 14"5-4b"AG0 Harnett County Department of Public Health 3 0 Q 1 5
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit_
PROPERTY LOCATION: W ALice� vin
ISSUED TO: Np't 1 PaN\EL S erbi6q 0 sy SUBDIVISION I LOT # I
NEW REPAIR ❑ ANSION ElSite Improvements required prior to Construction Authorization Issuance:
Type of Structure: SGQ C-70 ('fid
Proposed Wastewater System Type: Pu Mrdoo�ns S-yS—Ecr,
Projected Daily Flow: S^eC:O GPD
Number of bedrooms: S Number of Occupants: L 0 max
Basement ❑Yes No
Pump Required: tRes ❑ No ❑ May be required ased an final location and elevations of facilities
Type of Water Supply: El Community iRPlbNe 5k Well Distance from well 100 feet Permit valid for. five years
Permit conditions: ❑ No expiration
Authorized State Agent•.: S �fc�lS Date: 3 J � N SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarani a 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 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.
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: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date
This construction Authorization is s ' o revoation 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's 'ect to compliefirC rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent R6 --y95 Date: rl.
g Struction Authorization Expiration Date: 3 xi 2
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957,
.1954, .1955, .1956, .1957, .19% and .1959 are incorporated by
references into this permit and shall be met. Systems shall be installed in acmrdance
with the attached system layout
��—
ISSUED T0: PROPERTY LOCATION:
ALWcf- RD
Facility Type: SFSJ O r 60�
SUBDIVISION
New ❑ Expansion ❑
— LOT # I
Repair
Basement? ❑ Yes No Basement Fixtures?
❑ Yes ❑ No
Type of Wastewater System** Pv m e 1 a
a.; J0 REo u rrTa o u %5 S6rn
(Initial) Wastewater Flow: Q'3 0 GPD
(See note below, if applicable ❑
�usnP
���
1 u
QfS% �'S. (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size ";-10 gallons
Exact length of each trench "436
feet Trench Spacing: cil Feet on Center
Pump Tank Size 1d`90 gallons
Trenches shall be installed on contour at a
Soil Cover. 6 inches
Maximum Trench Depth of. s%
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
inches below pipe
Conditions: Sr --F- SsYE StiCTG�
Aggregate Depth: inches above pipe
inches total
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: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date
This construction Authorization is s ' o revoation 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's 'ect to compliefirC rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent R6 --y95 Date: rl.
g Struction Authorization Expiration Date: 3 xi 2
HTE#Imo'S-14344(,) Permit# 30015
Harnett County Department of I'nblic Health
Site Sketch
PROPERTYLOCATON: Wa�xCri ��
ISSUED TO: N ^' a , C ng3w wso SUBDIVISION LOT # 7.
Authorized State Agent: Q6�lS z a +/ f o L*&Do (& Date: �) 1�)1H
ak SYS�L-M �LP66ip
� �„e.,L vertu ANY
dQ-
'N
-70
1 �1S'• HLL Ai 1 0 rl
(l t
s�
Tm
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):` a Q
Location of Site: Property Recorded:
Water Supply: ❑Public❑ Individual Well
Evaluation Method: Au eg�Boring ❑ Pit ❑ Cut
Type of Wastewater: Lt J, 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
15-3
SgK C
T-72
��6G
Jaz
+�65 no
)'iovSC- s
p6 OF PONQ
`N(x�
Al -z.
Description Initial Repair System Other Factors (1946):
SysterV Site Classification (.1948):'rS
Available Space (.1945) V Evaluated By:O�
System Type(s) Mv Others Present:
Site LTAR