IPACHTE# 15'5=3CTE` fo Harnett County Department of Public Health 28535
Improvement Permit
A building permit cannot be issued with only anImprovement Per
sp�t
PROPERTY LOCATION: t'5" 1. Y )-sSMq a
ISSUED T0: iJEyy� Nor^G5 `aG SUBDIVISION LOT# iii
NEWX REPAIR ❑PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'Kfl Q.5 -y LA
Proposed Wastewater System Type: 'QLS'/o�$P%F-s C,.oN 5- a—wN
Projected Daily flow: 3)G O GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes �No
Pump Required: ❑Yes ;�SCNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1,00' het Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent: —'eYII Date: ) c- 15 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t u ce of other permits. The permit hold is res �nsible Mr checking with appropriate governing bodies in meeting their requiremenn. This
site is subject to revocation if the site plan, plat or the intended use changes. The Ins ens. Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and
to of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: W e4X-464, \-'Siz0M6aS s C. PROPERTY LOCATION: se6ly ��'SmH N t� �D
(� p� SUBDIVISION Q 1111 mt� N Ci20545)y G LOT # N 2—
Facility Type: `J " d xUl OJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement lxture}}m� ❑ Yes ><No
Type of Wastewater System** a S � s.5 s�vii ) U zr Syt)T&4� (Initial) Wastewater Flow: 3 O GPD
(See note below, if applicable ❑) 9--
FEJ VCs$) U -W (Repair)
Installation Requirements/Conditions Number of trenches )
Septic Tank Size S gallons Exact length of each trench a 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: \"�-30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. `o' 18 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type spetihed is diherent horn the type specified on the app/icadon. / accept the specibrations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Constructon Authorization shall net be hanshrred when there is a change in ownership of the site. This
Construction Authorization is subject to mmplianu visho the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 5
Cons ion Authorization Expiration Date:
HTE# 15 -5 3 6 0 Permit # a�5 35
Harnett County Department of Public, Health
Site Sketch Q D
PROPERTY LOCATON: v,6-,sUL ` TMfliv
ISSUED TO: SUBDIVISION P 1 ,,tit ssw 6 LOT # 1�
Authorized State Agent: QL di -iv 2 POLYS o Date: ci )
C�3�.
3�r
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): 'AOJ
Location of Site:Property Recorded:
Water Supply: _�Nublic❑ Individual❑ Well
Evaluation Method: El Auger Boring Pit ❑ Cut
Type of Wastewater: t
b.�ewage ❑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 IN.
.1956
Sam
Class
.1944
Restr
Horiz
, 10
e5
;S -'4q
S3x cc
�2�iP
�
-3C
?
p-a.o
G sL
P
C5
35
1>.14
58'y e(,
Description Initial Repair System Other Factors*
1946):
System Site Classification (.1948): e Y
Available Space( 1945) Evaluated By: Ch(
System Type(s) 1- L ] Others Present: �qB
Site LTAR ,3'