IPACHTE# Harnett County Department of Public Health 30049
Imarovement Permit
A building permit cannot be issued with only an Improvement PeAt n
PROPERTY LOCATION: I3 s! 1 s _l RD
ISSUED TO: PC uf_ M k—imocL: 7�rL SUBDIVISION 43YZCfa 'MS uL 90 LOT # aL3
NEW REPAIR ❑ EKPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M K.`"ff cn6 ��6 T �3
Proposed Wastewater System Type: C o"`( Lrx-<> o N p N
Projected Daily Flow: 'SrO GPD
Number of bedrooms: S Number of Occupants: max
Basement ❑YesNo
Pump Required: ❑Yes No ❑ 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:: t , Date: 5 )1 G 11$ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees a,i 5 me of other permits. The permit holder is responsible for cheding 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 attached system layout.
ISSUED TO: ii PA U L M P i T`4b2 a2 PROPERTY LOCATION: &YW5, M \ LL Z0
� SUBDIVISION $y¢oe My i Qa LOT # ZO
Facility Type: MAw IfAomf- �.G A -Q X New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** "w 6-^n- 1 to N Col (Initial) Wastewater Flow: 3r (Z) GPD
(See note below, if applicable ❑)
Cow�f> rt ON,aL (Repair)
Installation Requirements/Conditions Number of trenches 21f-
Septic Tank Size w O o gallons Exact length of each trench 10 o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1'g'-2zO 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. -1-inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: a inches above pipe
12 inches total
WATER LINES (INICLUDING IRRIGATION) MUST BE 1OFT. 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 speafyed on the app/icadoa / atrept the rpecil&ationr of this perm![
Date:
This Construction Authorization is su I 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 AuthorizationAect to MeepaluinceWtILa 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: '!r
Construction Authorization Exairation Date:
HTE# 1�—Sti3`1Q1�
ISSUED TO:
Authorized State Agent:
Permit # 3O04' j
Harnett County Department of Mtblic Health
Site Sketch
PROPERTY LOCATON: 6-/205 .L
/ SUBDIVISION gyz\os P.a LOT #
\t,�-i� �9i,�Vi7T.'IoL\�SDa QF/ Date: .5
9ya.05 r„LL, e )
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): 3i a�
Location of Site: Property Recorded:
Water Supply: 'Public❑ Individual ❑ Well
Evaluation Method:}` ,A ger B 'ng ❑ Pit ❑ Cut
Type of Wastewater: I --_f 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%
Horimn
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
Rear
Horiz
I
L,5
O^a
i0
S �'L
VC71 N57N't
S. F)
7-U�
Ci ci Z.-1iFp-rv.S
�' `ti
- O
ir i
Description Initial R it System Other Factors (.1946):
S ste Site Classification (.1948):,5
Available Space (.1945) V EvaluatedBy:6�
System Type(s) OCI Others Present: ..J
Site LTAR -So