IPACHTE# 0 - S'~IX56 Harnett County Department of Public Health 267 3 4
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N U casta;-i (t,o
ISSUED TO: ~vNNfss L_P,NQ Sr~y_rF-WP -T SUBDIVISION IP,!Dr ~c LOT # 9
NEW` REPAIR ❑ r E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFfl t5~ x3 '
Proposed Wastewater System Type: a 5(310 ~L~~d>y X75 i m
Projected Daily Flow: 3 ~o C-*) GPD
Number of bedrooms: 3 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 Public ❑ Well Distance from well ~ ()O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: -"I,• Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance a r permits. The permit holder is r 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 it 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, .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. 1
ISSUED TO: CN-1I ~G ~ l-~r~~ ~E,fEu4?srGr It PROPERTY LOCATION: oa; 'EQ:l
SUBDIVISION T- LOT #
Facility Type: 5 Q C53'~`'~'~~- ,J New ❑ Expansion ❑ Repair
Basement? ❑ Yes IR No Basement Fixtures? ❑ YesI No
Type of Wastewater System** 2.SC'/c, ovc.~ e ON ~J yS S rc c~t~ (Initial) Wastewater Flow: ~ (ob GPD
(See note below, if applicable) 6"!D-6 _
~%flUG'V 10,J 'QY51-0M (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size ti ® 40 gallons Exact length of each trend` rol feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. aU-3~o inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: Q L--2 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to revo k 'f the site Dim 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 s btf Cect`o compliane~_with~~" s o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 1 )
t>
Authorization Expiration Date:
HTE# 1I r 5 5(® Permit # '.(~;l ~ti
Harnett County Depaii-Cment of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: N ~(sciz
_ SUBDIVISION LOT #
Date: \ )
8g~
l J
/ I
l
2 ~
53" ~3~t
H
r
` v
a-41/
80 ~
Department of Environment; Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
f ON Code:
or -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: ~g~ Ocn Design Flow (.1949):3 6Z Property Size:
Location of Site: Property Recorded:
Water Supply: tPublic❑ Individual ❑ Well ❑ Spring
Evaluation Method:( Auger Boring ❑ pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
SOIL MORPHOLOGY
I
1940
07
1941
L
Landscape Horizon
.
PROFILE
E
Position/ Depth
.1942
.1941
1941
#
ClnnP. o/ !k, 1
.
Soil
-
unscscence Wetness/
Texture Mineralo Color
C, S
D' h
Description
LTAR
Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): S
Evaluated By: "
2s YLF~ Others Present:
6
El Other
HER
1943
Soil
.1956 .1944 I Profile
Sapro Restr Class
Class Horiz & LTAR