IPACHTE# T`b'S'�371 O Harnett County Department of Public Health 30034
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit (�
PROPERTY LOCATION: G,L Pa,OJL
ISSUED T0: S"NV SUaE ��Or,E $v.yo62S SUBDIVISION i"ctc^vs C\#%vcjZ LOT # 3�
NEW,' REPAIR ❑_ ;�l �PANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5Ffl C.65 "�O J
Proposed Wastewater System Type: AS°�o 9.Eou0'%so 15 rE
Projected Daily Flow: 3to( GPD
Number of bedrooms: 3 Number of Occupants: ro max
Basement ❑Yes jKNo
Pump Required: ❑Yes (X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: :: � Date: 4 4IN-71 1B SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantee s se. u,lt ante of other permits. The permit holder is responsih a 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 rionovement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisiom 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, .1957, .1954, .1955, .1956, .1951, .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
ISSUED TO: Sa 6rao tun E )fAo tie CL Q La&zas PROPERTY LOCATION: p ttiTAl>^ ox.
SUBDIVISION S a, or ,was T, i oa LOT # 34
Facility Type: StO (ESS ISo) '1 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" QS'Ve RC- OJcg*t0 S-7sT Cn (Initial) Wastewater Flow: _ 40 GPD
(See note below, if applicable ❑)
r�S-
lo P�� • %5, (Repair)
Installation Requirements/Conditions Number of trenches l
Septic Tank Size N,oocb gallons Exact length of each trench '61S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I -q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTI( 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 spedled is different from the type speciled on the application. / accept the spedlcations of this permit.
Representative Signature:
Date:
This Conseucnon Autlmri sub ct to revocation if the site plan, plaL 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 sub'ect to comp i ions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: S Date: W
Con tion Authorization Expiration Date: H ri
HTE# 1$" 5"'i3—110 Permit # ' op L}
Harnett County Department of 1"ublic Health
Site Sketch
PROPERTY LOCATON: G L Q� &ri%N L- D2,
ISSUED TO: s r aS V" i i o r. � r1.ocw,S SUBDIVISION l LAl LOT #
Authorized State Aeen Date:
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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: 3 PjCgjn Design Flow (.1949): 3�
Location of Site: Property Recorded:
Water Supply: 'Public❑ Individual ❑ Well
Evaluation Method Augring El pit
-1 cut
Bo
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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
�
L5
1. S
d• 31
(i 5
Vt"r>, r51'� P
SS -y- `1Z-
fr, S5� Sp
p 5
v 37�
G 5
YFn N3) W4
3�- t
s3x SGL
c�L !34-/f
P 5
�
Description
Initial Repair System
Other Factors (.1946): C
S st
Site Classification (.1948):R/
Available Space(. 1945)
Evaluated By: zr<
System Type(s)
Others Present: -�
Site LTAR
-