IPACHTE# t% -Sr � Harnett County Department of Public Health 30121
Imorovement Permit
A building permit cannot be issued with only an Improvement Peen
'e� PROPERTY LOCATION: U 4Z.
ISSUED T0: L p%mc o CVs—• or- PoVlLwj4r> SUBDIVISION 11 v G6rs of nfTc LOT # 163
NEWJK REPAIR❑ g X EXP
ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sc-j� �,
Proposed Wastewater System System T�� e aG,7c, 'KCD06Row SyS"GM
Projected Daily flow: 340 GPD
Number of bedrooms: 3 Number of Occupants: 4 max
Basement ❑Yes No
Pump Required: Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supp . El Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: , _ ❑ No expiration
�� ��
Authorized State Agent: Date:C SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuam (y rtr permits. The permit holde is re onsible 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 construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: L-Ptr^c—o Cy-'f_AOm QDvNLQ6jj PROPERTY LOCATION:
_ / SUBDIVISION R s N � SN YO E LOT # S
Facility Type: Sti �'250 >r L�6D tKNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No O
Type of Wastewater System" iw 7. P.E9 V G'C Lc Pa (Initial) Wastewater Flow: _S'bM GPD
(See note below, if applicable ❑) n(�
14 scL�2cs r4-1 Ilk L_ 4 CK. da.&(Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 'Loos gallons Exact length of each trench =L'S feet Trench Spacing: CII— Feet on Center
Pump Tank Size \ oc�d gallons Trenches shall be installed on contour at a Soil Cover. b inches
Maximum Trench Depth of: lel inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondeatand the system type speafted is different hom the type speciled on the application, / accept the rpecihcationr 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. Thin
Construction Authorization is subject o - _ ith thPlimisfisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constr�Authorization Expiration Date:
NTE#
Permit # �
Harnett County Department of I-)iblic Health
Site Sketch
PROPERTY LOCATON: J v N % Dn
ISSUED TO: Lq , CU 0 wiLoPl25 SUBDIVISION i, oGp_N �o+ vC ` LOT # SQ
Authorized State Agent: i ovo Date:
I5-4
Iq-
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: _JOtArN Design Flow(. 1949): 36d Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual El Well El Spring El Other
Evaluation Method�uget� onng ❑ Pit ❑ Cut
Type of Wastewater: 'Sewage ❑ Industrial Process ❑ Mixed
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 (IN J
.1956
Sapro
Class
.1944
Restr
Horiz
C>40
G e s
`�4A jsINV
I3 -"Q
Ci LS
Vra
Q -1-3d
58k scL
CrL 46)gP
L�ct 36,E
P1
3
a�
G
0_4o
Fn. 3s)D#
c¢a�36 1
t1
0-1d
G LS
U ,0 v
Description Initial Repair System Other Factors (.1946):
Systqfn Site Classification (.I948):'pS
Available S ace (.1945) Evaluated By:p�
System T e(s) �A4 Others Present: "
Site LTAR