IPACHTE# I�'S�3b`i`A Harnett County Department of Public Health 30047
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: SoET.._ W M
ISSUED TO: oyj ��Oet%GBUlt-.067,5 SUBDIVISION CF—r,s &LL.P% LOT# t -F
NEWX S REPAIR p - MANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 t'x sm, J
Proposed Wastewater SystemTzype: 2.5 a Cyyit a%M J Sys-' E"r+
Projected Daily flow: 3 60 GPD
Number of bedrooms: _3 Number of Occupants: max
Basement []Yes XNo
Pump Required: ❑Yes '6KNo ❑ 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: S I T?i I Y4 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ce of other permits. The permit holder is respo ible 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 Im rement 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 .1950, .19S2, .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 attached system layout.
ISSUED TO: PROPERTY LOCATION: JcEz \ pi -I
SUBDIVISION _S�rtv�26LLA LOT # 4
facility Type: SFa xSp New ❑ Expansion ❑ Repair
Basement? ❑ Yes A No Basement Fixtures? ❑ Yes ❑ yo
Type of Wastewater System** 9aS 6K\ (Initial) Wastewater Flow: 3607 GPD
(See note below, if applicable ❑)
cQL510 134au"str),tr-Sit: (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size I MO gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 156 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 14r inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: cj Feet on Center
Soil Cover, fe 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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type speciTed it different hom the type specified on the application. / accept the rpecificatons 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 ism liana with rorisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
FAuthorized State Agent: Date: 5 vi) f24
o0struction Authorization Expiration Date: S 1L1 In
HTE# IQ' S i Permit # -2:0O y—�
Harnett County Department of tl�ihlic Health
ISSUED TO: l 10
Authorized State Agent:
X31
Site Sketch
PROPERTY LOCATON: J EL W A
3 UNl-OEA25 r SUBDIVISION Cr N-�z6L.LA LOT #
�Qfc}lg IOL vE2`�GLY�S Date: 5 I ILIj 1$
--
t5Q.
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: pp pp6
Proposed Facility: n Design Flow (.1949): 7"
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Aug rBoring El Pit ❑cut
Type of Wastewater: 1W 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
Rear
Horiz
I
OSa
0-3o\
6
z3
-yv
6 5
\J�fu1
to ,Z
G �z_
� )J 4r(
s
a
-36F(L-U-)
of
5t 8
G s4-
v� N�
5. iw
El
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948)
Available Space (.1945) Evaluated By: �(
S stem Type(s) Others Present: -�
Site LTAR I I (. r
EEEI