IPAC RHTE# 14'51L -S"12 Harnett County Department of Public Health 30133
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: SUeaO �..^Pa-
ISSUEDDTrO: �._.eyc.�C0 Gy'Sa� Q)iQG�y 1 SUBDIVISION—,46&5 9o -%i6 LOT #
-ty a
NEWREPAIR f] EXP�ISION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ">cF�3p '� a
Proposed Wastewater System Type: i7V�\o Q, o 'Qr<i>vGtas Sy�.
Projected Daily Flow: to 0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ';irj?o
Pump Required.,)Mes ❑ 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: QL>�` Date: G 1 1SEE ATTACHED SITE SKETCH
The issuance of this permit by the Dealth Department in no way guarantees itrance of other permits. The permit holder is renlinnnsible 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 inurement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provision 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 .195D, .1957, .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: LP+vncp Cv5'i6cc-% p V T pE2S PROPERTY LOCATION: I�ZfG 4C)4
SUBDIVISION 15,,6f, oa l:E LOT #
Facility Type: S SCJ CgO `j�� �' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pvenp >>0 945Zcz ' �vc,,5o j /s :Gx1 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Pt, n"p'To 251, QA3D.- (Repair)
Installation Requirements/conditions Number of trenches I
Septic Tank Size s C o O gallons Exact length of each trench �3 D feet Trench Spacing: 9 Feet on Center
Pump Tank Size R 0'° gallons Trenches shall be installed on contour at a Soil Cover. S: inches
Maximum Trench Depth of: sQ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4" ��� 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
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.
**If applicable: / understand the system type rpeci6ed if different from the type speci&d on the app/kation- / accept the rpecif1cationf Of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is slqmko revocation if the site plan, plat or the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authonzation is ct to co mph i e 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: C 11
Construction Authorization Expiration Date:
HTE# Permit# 3oi33
ISSUED TO:
Authorized State Agent:
Harnett County Department of Public Health
Site Sketch
C� PROPERTY LOCATON: 5Vw o Oa._
:o CQr,—O > 0 06e5 SUBDIVISION�i�N 66�j Poi , E 1 LOT # 161
�VbNS �u tC�2 �ti spm FJ Date: b I a I
to y
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SV N 0 DCL:N% 6
114
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: 25 S92;r. Design Flow (.1949)-.$
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method:b 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
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
o �>a
s >_
V'vn u,)ti
aG
G 5 1
YRS JV
ac -3 6
SBY S u
P
Description Initial Repair System Other Factors (.1946):
Systerp Site Classification (.1948):
Available Space (.1945) V Evaluated By:
System Type(s) 9 V" Others Present:
Site LTAR +y -u_