IPACHTE#_ k9-5titi67a Harnett County Department of Public Health 30120
yy CI 3 Improvement Permit
A building permit cannot be issued with only anprovement Per It
—� PROPERTY LOCATI YE u N .
ISSUED TO: �Ac�FS \ tSO t7st� SUBDIVISION rt s Croo.5 pvfz.H% LOT # C
NEWX REPAIR VRNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO r 5C-)
Proposed Wastewater Systt�em�T))pe: S e GA.t C 10 Ns S'T
Projected Daily Flow: �i 6 3 GPD
Number of bedrooms: t"V Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '19, Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: \� ��\� Date: C I T S 113 SEE ATTACHED SITE SKETCH
The issuamce of this permit by the Health Department in no way guarentees the iuuance al other permits. The permit holder is responsib ¢ 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 o1 Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acmrdano
with the attached system layout
ISSUED T0: PROPERTY LOCATION: �ES�"\ N L+�
SUBDIVISION auto 6 6-5 Gp,g ro LOT # �L _
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes � No Base�e t Fixjl�res? '❑ es ❑ No
Type of Wastewater System** as Vo }ICDUC;Stoga -3,is: M (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) a/
R c -'D, S-,,tS . (Repair)
Installation Requirements/Conditions Number of trenches L+ q
Septic Tank Size o o a gallons Exact length of each trench SO feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: —Ac—inches
Maximum Trench Depth of.. I '?-�_ _ 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: (t. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speciled is different from the type speciled on the application. / accept the specilcalan.r of this permit
Owner/Legal Representative Signature: Date:
This Construction An reva.lom if the si an, plaA 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 bt Bance wit ion t ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C.JY
Constructio uthorization Expiration Date: 46 1 vs W
HTE# J -B 'S' Permit # '�O 52 0
G " 0'9 ;
Harnett County Depailinent of Public Health
Site Sketch
PROPERTY LOCATON: 1pea�tua LN
ISSUED TO: SUBDIVISION LOT #
Authorized State Agent: » u -46n- �dl Y590S$ Date: c
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:ublic❑ Individual [-]Well
Evaluation Method Auger B ring ❑ Pit ❑ Cut
Type of Wastewater: -,q 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Minemlogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth(IN .)
Sapro
Class
.1944
Restr
Horiz
1.5
Description jSysteip-
ial Repair System Other Factors (.1946):
SiteClassification (1948): J
Available Space (.1945) Evaluated By:(z
System i s) S Y Others Present: i
Site LTAR