IPACHTE# 1-1 -s-~ Harnett County Department of Public Health
hDrovement Permit 2 6 7 3 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M
ISSUED TO: o~ acLSa Qv)fir-DEQ- k LL -C, SUBDIVISION LOT #
NEWX REPAIR EX SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 VD ~5''
Proposed Wastewater System Type: C.ct J C N O sv~?,y,
Projected Daily Flow: Z) GPD
Number of bedrooms: Number of Occupants: `?3 max
Basement ❑Yes No
Pump Required: ❑Yes ~No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1(70 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \ %&~5 Date: N-N `'-o-\ )1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t ' ce 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 site plan, plat, or the intended use changes. The Imp ent 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, .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: C)\'tP"2Q 1-0 v2 LA-C. PROPERTY LOCATION: Na-Y-5
SUBDIVISION ~A-r6FOCt,D LOT # _
Facility Type: ~JFti C~~rx~~1 J New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'E2 No Basement Fixtures? Ses No
Type of Wastewater System** CC rapt ter. u N (initial) Wastewater Flow: t-1~ 0 GPD
(See note below, if applicable
C'0 JVvE-tS 10 N A L- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size \-O(z>® gallons Exact length of each trench 10 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z~ 30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: el Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
D- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specified is different from the type specified on the app/ication. / accept the speci(cations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation ' e 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 st~t~complia vkie p ' ions 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: 11
Construction Authorization Expiration Date:
HTE# 1 9 q Permit # M--71-7
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
85`
PROPERTY LOCATON: Mpay-5 Ry3
_ SUBDIVISION Asa+~~oc LOT #
~5,
i-Q"
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
:
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L-\ Q f 2d~ Design Flow (.1949): 1-il 0 Property Size:
Location of Site: Property Recorded:
Water Supply: NPublic❑ Individual ❑ Well
Evaluation Method: ❑ Spring ❑ Other
-a Auger Boring ❑ pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
P
I
1940
SOIL MORPHOLOGY
L
.
Landscape
Horizon
.1941
PR(
E
#
Position/
Slope 0
Depth
(In.)
1941
Structure/
.1942
.1941 Soil
Consiste
Texture
nce Wetness/
Mineralogy Color
L S
0-1-3
G $
R ry~~'
Y RZ Y'o\ 1\3~
9L
0
S
~~tjv
Description Initial Rep it System Other Factors (.1946):
S stem Site Classification (.1948):
jAvailable Space .1945) Evaluated B
tem Ty e(s) C-CI Nr C<1~ Y C~
Site LTAR Others Present:
B
OTHER
)FILE FACTORS
.1943 .1956 .1944 Profile
Soil Sapro Restr Class
Depth IN. Class Horiz & LTAR
5•~
5