IPAC RHTE# Harnett County Department of Public Health 28661
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION -S4 11/37 1Adf4(a dL ,Lii
ISSUED TO- S7//1,JC1 6frW4&c, s —rr c— SUBDfVISION /1v463keee y LOT # q 3'
NEW �i7 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'F�
Proposed Wastewater System Type: r?A (2FAiU�A-"J sy-54-dc —
Projected Daily Flow: 362 O GPD
Number of bedrooms:Number of Occupants: _max
Basement ❑Yes Z J/
Pump Required: ❑Yes El No 1 MMaae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community rd Public ❑ Well Distance from well feet Permit valid for. 2 Five years
Permit conditions: ❑ No expiration
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: / ondeatand the system type seredfied is different from the type specified on the application. / acmpt the rpeci6ru6onJ of this pemzik
Owner/Legal Representative Signature: Date:
This Constmcsion Audso ation is subject to revocation if the site plan, plat, or the intended use changes. The combustion Audioriaton shall not be transferred when there is a change in ownership of the site. This
Loostmction Authorization is subject to compliance with the provisions of the Lam
�and Rules for Sewage Treatment and Disposal and in the conditions of this permit stt AI IALM[U slit sRULM
Authorized State enc: /�/ Date:
Construction Authorization Expiration Date: /2-5 — 7-6
Authorized State nt.: Date: /Z-5—/� SEE ATTACHED SITE SKETCH
The issuance of this permit bHealth Department in no way guarantees the issuance of other permits. The permit holder is raponsible for checking with appropriate governing bodies in meeting their requirement. This
site is subim to month h the site pian, plat, or the intended we changes. The Improvement Permit shall not be affected by a change in ownership
of the site. This permit u subject to compliance with the provisions of
the Laws and Rules kr Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The mnmuctiun and installation requirement of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be meL Systems shall be installed in accordance
with the attached system layout
ISSUED TO: &Vil l s -+"C PROPERTY LOCATION: V/r/37
5,4114sotr-9 A?W
SUBDIVISION 1AAd¢EN LOT # 45,
Facility Type: 3f: -,b I"New Expansion ❑ Repair
Basement? ❑ Yes Eel' No Basement Fixtures? ❑ Yes EANo
Type of Wastewater System** %S°/6 1)4 i:� :i ,S 14
(Initial) Wastewater Flow: 3 b o GPD
(See note below, if applicable ❑)
2�/e RA)Va7on) / TPi:S3 (Repair)
Installation Requirements/Conditions Number of trenches 2—
Septic
Septic Tank Size 1000 gallons Exact length of each trench /fie feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: _�_ inches
Maximum Trench Depth of: ZN )/b 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: h. TDH vs. GPM
—1� inches below pipe
Aggregate Depth: Z inches above pipe
Conditions:
�[� 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: / ondeatand the system type seredfied is different from the type specified on the application. / acmpt the rpeci6ru6onJ of this pemzik
Owner/Legal Representative Signature: Date:
This Constmcsion Audso ation is subject to revocation if the site plan, plat, or the intended use changes. The combustion Audioriaton shall not be transferred when there is a change in ownership of the site. This
Loostmction Authorization is subject to compliance with the provisions of the Lam
�and Rules for Sewage Treatment and Disposal and in the conditions of this permit stt AI IALM[U slit sRULM
Authorized State enc: /�/ Date:
Construction Authorization Expiration Date: /2-5 — 7-6
HTE# /�� �3-1 q -702 Permit # 2gea2I
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:A-Xj q 3? 13AU4g-w. 104�
ISSUED TO: 57-4-xA� 13vr-4 ., Xi'- SUBDIVISION /-/-� LOT # ��
Authorized
'id
D
I �t
r
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1W
Date: /Z– 4 —
Q]
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: )tW" -r
Address: Date Evaluated:
Proposed Facility: �{^� Design Flow (. [949): 3fa0
Location of Site:Property Recorded:
Water Supply. - —)Public❑ Individual ❑ Well
Evaluation Method:[] AugerB-�o�ring 3 -Pit ❑ Cut
r
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
Structurd
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
1, t
l ��
o•i�
/L
�K.C2 rJ
~`
.3
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):1 S
Available Space .1945) Evaluated By:
System T 5 Others Present:
Site LTAR