IPACHTE# t 1 - 5~a-131 Harnett County Department of Public Health
Improvement Permit 2 6 7 0 8
A building permit cannot be issued with only an Improvement Perm'
PROPERTY LOCATION: ~--+-*4~~rVFSZ
ISSUED TO: G~u.E ~~t S NCr SUBDIVISION ~I Nr'y o2-1 ~t-,c C,.,AyCLCcN LOT
NEW,?q REPAIR ❑ EXP SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 q O `(-c "1- r
Proposed Wastewater System Type: RSV CPS1ON I'S+EM
Projected Daily Flow: 3 C. ® GPD
Number of bedrooms: 3 Number of Occupants: Q- max
Basement ❑Yes No
Pump Required: ❑Yes 'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well t~® feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: SZL~ Date: °1 I -11 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan 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 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: 0-ri- AoD-i5 VP c.. PROPERTY LOCATION:
~ SUBDIVISION L`4QSzG1~ LOT #
Facility Type: 'S'Fa New ❑ Expansion ❑ Repair
Basement? El Yes ~N No Basement Fixtures? ❑Yes No
Type of Wastewater System** t~S°fn 9\C-0UC;'N9N `15zE-n (Initial) Wastewater Flow: 3~® GPD
(See note below, if applicable
a'1-°1) REQurz ~N~ S `S ('-M (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size ~ 0':::' 0 gallons Exact length of each trench "7 5 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: } 1z inches
Maximum Trench Depth of: rA 1 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
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.
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specilcations of this permit.
Owner/Legal Representative Signature: Date: I!
This Construction Authorization is subject to tion d the 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 suktkcompliance wjh t visions*f the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: -,-I, Date: 91-11)l
truction Authorization Expiration Date: ~t "1
HTE# 4-51 Permit # n
Harnett County epaAment of iblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON:--a+SATF.SL.
SUBDIVISION \JNcAo(ay ~,5s C-~,y2ca~ LOT
ate:
n CV -1
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): 3&0
Location of Site: Property Recorded:
Water Supply: _N.4 Individual El Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
-
O
F
I
1940
SOIL MORPHOLOGY
OTHER
.
L Landscape Horizon
.1941
PROFILE FACTORS
E Position/
# Slope %
Depth
(In.
.1941
Structure/
.1941
Consistence
.1942
Soil .1943
1956
Wetne
/
.1944 Profile
Texture
Mineralogy
ss
Soil Sa ro
Color p
De th (IN. Class
Restr Class
Horiz & LTAR
-VA C:
L
pia .v~~ j ?
t G
e
<2 oil. NP
~a~33t
(2
5
-
c1 c
1~;
v ~sVw
Description
Initial
Repair System
Other Factors (.1946):
S stem
Site Classification (.1948):
Available
S Space .1945)
ystep Tye(s)
Evaluated By:0
Site LTAR
t~
Others Present: