IPACHTE# 5Harnett County Department of Public Health 30111
Imurovement Permit
A building permit cannot be issued with only an Improvement gP�ermit
a PROPERTY LOCATION: ZA V N o h![6..
ISSUED TO: I✓Nr^� CQS—Octi i>yTLOGQS SUBDIVISION TN6Ge,, pos.aCE LOT # 160
NEWA REPAIR ❑ R)PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Svc, (3'V"
Proposed Wastewater System Type:` �6o Gac N Svc: G—sr�
Projected Daily Flow 3b GPD
Number of bedrooms: 3 Number of Occupants: C max
Basement ❑Yes 'R No
Pump Required: ❑Yes '�RNo ❑ 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 conditiolts� \ ❑ No expiration
Authorized State Agent: _ : �\ PLUS Date: G 14 ) A SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guano the 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 sire 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1950. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system IayouL
ISSUED TO: L-As"cC Gy'ss eco autw6tLy PROPERTY LOCATION: -Su N ° fla
SUBDIVISION I% c f^N Pov v; L- LOT # S 6D
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes 19 No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** _e Lel' 960vca t a d 'S,23N&-n (Initial) Wastewater Flow: 36® GPD
(See note below, if applicable ❑) N
�S�e
RC�uCTi.O>J �3, (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size so ens a gallons
Exact length of each trench ALp feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: A inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TON vs.
_ GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. -Z- 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: l understand the system type spec/led it different from the type siveciled on the application. / accept the spedlcations of this perms
Owner/Legal Representative Signature: Date:
Thu Construction Authorization is su 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 is ubjeI to c San 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: J v ' RL AS Date:
1pstruction Authorization Expiration Date:
HTE# M"5_Ti3c01� Permit# 301T1
Harnett County Department of Yuhlic Health
Site Sketch
PROPERTY LOCATON: wNo O�
ISSUEDTO: SUBDIVISION 1+�ccN Qo+N LOT# 146
Authorized State Agent: Q�. Z7 p1 SFR SuLVSDo(�) Date: 6J 'I'�`$
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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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minmlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapm
Class
.1944
Restr
Horiz
L5
�s
cr3�
cS�:Ive
6-30
G S L
�t V51^1Q
$0
S�YC
S3�5P
1Cy20}��
�13t7
�
SSIt L
� 5,15P
Description Initial Repair System Other Factors (.1946):
Systorn Site Classifi cation (. 1948): R5
Available Space (.1945) V I Evaluated By: jz�,
System Type(s) t 2C D ut, CN Others Present:
Site LTAR " 3
1x '140 p v';'