IPACHTE# 1O`5- 2)~S6s Harnett County Department of Public Health
hDrovement Permit 2 6 3 6 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: \4 AS e2Una V10 treS VAC, SUBDIVISION Ck '4 ~1.t A SEp So~v s LOT #
NEW" ° REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sa )
Proposed Wastewater System Type: Cc ,,N'4 sy ; ~GN~L
Projected Daily Flow: L1$ O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 'KNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑❑~munity Public ❑ Well Distance from well ~O d feet Permit valid for: Nlz~
Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: S ► 10 G SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of othe its. The permit holders respon ible 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 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, .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: RVC-A y-N9, \VVJ PROPERTY LOCATION: t t
SUBDIVISION LOT #
Facility Type: SFO ~.~'~~S c3-~ New ❑ Expansion ❑ Repair T
Basement? ❑ Yes No Basement Fixtures? ❑Yes Na
Type of Wastewater System** Cart J C.'r-, s"1 p.t_ (Initial) Wastewater Flow: y'?O GPD
(See note below, if applicable
CIED V-st 0 sv 'K L (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size oo C_-, gallons Exact length of each trench `a-o y 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: 2.-2:~ 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: a inches above pipe
Conditions: 1 a. inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocatiotr 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 subje6t_to commpliance with t`io revise the LawsXRules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: W__\415 Date:
Construction horization Expiration Date:
HTE# 1C~ -S-a1S
Permit # Z-f 3!,b
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: ~ Ec sa.2~ ~AcIME-" SUBDIVISION LOT #
Authorized State Agent: ~S L}v6L ~a~` Date: 11 16
Of
Z
lld/
15(3/
\114) 1-1p1wooZ 4p,~`I
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WAS'T'EWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: '~~l
Proposed Facility:1.-, G c2 cc rr` Design Flow (.1949): v>},<; ~r 4)
Location of Site: Property Recorded:
Water Supply: 3 Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope 04
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
MI
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
do LTAR
t_j
J
9_
v L~
G
rZ. ° Sj
1
Description
Initial
s
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space .1945
Evaluated By: C 1
s stem Type(s)
; ,j
Others Present:
Site LIAR
: 1