IPACHTE# L -G57 Harnett County Department of Public Health 30116
Improvement Permit
A building permit cannot be issued with only an I12rovement Pgg��mit
p PROPERTY LOCATION: Junco Vt,
ISSUEDTO:_L�r+� CUSSon Puls_pa2.5 SUBDIVISION �1.46GN 0sss6. LOT# Y62
NEW REPAIR Q EXP4SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5Z�o 1-1 ")
Proposed Wastewater System Type: QSeJr0w'95-Tris `
Projected Daily Flow: 3C0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes No
Pump Required: Dyes 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: �� S -6—N 1ST Date: 6 h I its SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departm:7!!!!!1t
nt in no way guarante pg issuance ce of other permits. The permit holder is re ponsible 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..
Construction Authorization
(Required for Building Permit)
The commuction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .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: C.jo�,-Qm by12,oEfb PROPERTY LOCATION: t/No 1)Q.
C y g6� SUBDIVISION �Tirot,6n2 01 QT 6 LOT # 16a
Facility Type: S 3 J New ❑ Expansion ❑ Repair
Basement? ❑ Yes '5k No Basement Fixtures? ❑ Yes ❑ N�
Type of Wastewater System" 2S°/' t, V m (Initial) Wastewater Flow: 3C0 GPD
(See note below, if applicable ❑) /
a Sm/ e �EovLSs ON Sia (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size L t5 o a gallons Exact length of each trench S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: N inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions:
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / endeatand the ryrtem type rpeciffed /t different hom the type rpecih'ed on the app/nation. / accept the rpecifltaoimr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authom b'ect to revontion if the sic 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 Authornzatim&g subject tow®pta a provisiots 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: t
Authorization Expiration Date:
HTE# Permit # ao I16
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: :1vw0 PQ-.
ISSUEDTO: LAr, ws.on �v' t7tilje5 SUBDIVISION iiaG6N Poi NTC LOT# �Ga
Authorized State Ageo ` N 191-1'46�z i 01 ZOf Date: ro l 1 14
I \
`k
Co,_ 6fF.
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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: `igsraa� Design Flow(. 1949)'3` 0
Location of Site: Property Recorded:
Water Supply: UPublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: taiisewage ❑ 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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
5-5
a
(a -N
(�' S L.
>as1vP
�0`12"I
• h
2
SL
v�> )KR
La -L.
Psi
3
p 3ra
:. 5 L
Vki %7 WI'
3CY
S3K-st.I..
fit. sslsp
P5 ,
Description Initia Repair System Other Factors (.1946):
S st m Site Classification (.1948):'Y
Available Space (.1945) V i Evaluated By: g(
System Type(s) 4W ed CtEO Others Present:
Site LTAR •y • M