IPAC RHTE# it Harnett County Department of Public Health
Improvement er it
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I o W ?- C) a—
ISSUED TO: W >Qs-,-A SUBDIVISION ) imGt,4 Yt.s�,CC LOT # 1b
NEW'X REPAIR ❑ - EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: - P�3"'A{A
Proposed Wastewater System Type: 2.S /o P Co u>✓'
Projected Daily Flow: 4'i ® GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes ''No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community _, Public ❑ Well Distance from well \00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: -7 �, Date: 1a1-'d 1 > SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees -NJIftakce 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 intende se 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
Reauired 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.
ISSUED TO: CA N s PROPERTY LOCATION: 1 o-nsErz, Qa,
SUBDIVISION W.n 1-6— LOT # 1 C
Facility Type: S�Q �'-'' '4� New ❑ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? El Yes RR No
Type of Wastewater System ** 3- S'h'e, P-C�yG °, e N (Initial) Wastewater Flow: ')N GPD
(See note below, if applicable ❑)
a�;-Xt " E V C;_� \ tl of (Repair)
Installation Nguirements /Conditions
Septic Tank Size 1 0 ® i'-) gallons Exact length of each trench rc), x__75 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G" l ® inches
Maximum Trench Depth of: ,'�Z-� 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
* *If applicable: 1 understand the system type spec11ed is different from the type speciled on the app /ication. /accept the rpeciTcationr of thi permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject o on if t site plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership
of the site. This (onstructio t ation is subjec c h rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Authorized State Agent: S Date: 'N , 0 _
Constru �thorization Expiration Date: —7
HTE # I I —S-' D 1--) 1 R,
Permit # aL43� /
Harnett County Department of I'lablic Health
Site sketch
PROPERTY LOCATON: C—.,.t— QCL
ISSUED TO: SUBDIVISION LOT
Authorized State Agent: Date:
Ipp=
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: L- JL c" 0,CK , Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: r o 'ng ❑Pit ❑cut
Type of Wastewater: '3Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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.)
.1956
Sapro
Class
.1944
Restr
Horiz
Description
Initial
S st
Rep it System
Other Factors (.1946):
Site Classification (.1948)_ j
Evaluated By:
Others Present: —
Available Space (.1945)
System Type(s)
Site LTAR
SOUTHEASTERN SOIL & ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION r1 ^ -'�`�N %�1�+4/GL� LOT rG
INITIAL SYSTEM 141 ' ✓� �' .��!• J2 +'d� REPAIR hoeAr O
DISTRIBUTION U - A-0 z
BENCHMARK 1009.
NO. BEDROOMS A/
LINE FLAG COLOR ELEVATION
DISTRIBUTION P •,40K
l xwr-
LOCATION /7+�`o411 Lri4v� t4
PROPOSE DLTAR 0,l3 6AVll�
LENGTH (F°T)
loo .> �r
1 fJ 109 , v 7�
_y L✓ lay, o •�,: '
BY 44 A-414el'L
TYPICAL PROFILE
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lN.rrx ,4 T I$ - zZ
DATE J -P
Southeastern Soil & Environmental Associates, Inc.
P.O. Box 9321
Fayetteville, NC 28311
Phone/Fax (910) 822 -4540
Email mike0southeasternsoil.com
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SOIL/SITE EVALUATION • SOIL PHYSICAL ANALYSIS • LAND USE/SUBDIVISION PLANNING
GROUNDWATER DRAINAGE /MOUNDING • SURFAMSUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION & DESIGN