IPACH T E # Harnett County Department of Public Health
Improvement Permit 27052
A building permit cannot be issued with only an Improvem t Permit
PROPERTY LOCATION: W ►a,e
ISSUED TO: SP`.(V]► ~~Ot'`~E-S 1^t-G SUBDIVISION KZ.,4 v 'FV-&t-,5 LOT # r--~
NEW'N REPAI~ ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: o ik y cam. 10 >s In ;EX)
Projected Daily Flow: GOO GPD
Number of bedrooms: 5 Number of Occupants: T O max
Basement ❑Yes No
Pump Required: ❑Yes No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 4 O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: a-C-,16c, Date: S ~aN \a-. SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc t! r permits. The permit holder is resp nsible 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 Improvemenit 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, .1 954, .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 T0: PROPERTY LOCATION: ne n
`~Z
SUBDIVISION `~vn5 LOT # 1-_
Facility Type: S ~fl ~''t~J New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** (Initial) Wastewater Flow: (a00 GPD
(See note below, if applicable p
Pura Ei . D ~-oG~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size )--LSO gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G' inches
Maximum Trench Depth of: VS -30 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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the ryrtem type rpeciTed is different from the type speciped on the application. l accept the specilcatim of this permit.
Owner/Legal Repres nature: Date:
This Construction Authorization is subject to revocati he 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 "lie`s' o compliance ' th isi f kLLaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: $
Construcion Authorization Expiration Date:
HTE# Permit # '1
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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: -t } Jam..
Proposed Facility: fi V6- -f- 15 Design Flow (.1949): cal) t
Location of Site: Property Recorded:
Water Supply: ~Public[] Individual F-1 Well
Evaluation Meth4'0, ,Auger ~Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
R
O
F SOIL MORPHOLOGY
I .1940 .1941
L Landscape Horizon
E Position/ Depth .1941 .1941
# Slope % (In.) Structure/ Consistence
Texture Mineralogy
L. S
OTHER
PROFILE FACTORS
.1942
Soil .1943 .1956 .1944 Profile
Wetness/ Soil Sapro Restr Class
Color D th IN. Class Horiz & LTAR
3G' gz s~tx
be
1l~ ~d '~Y5I( SLL
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~~-7Q S(j~ :5
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r
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3(j'
,'3 53X sGi ~t s
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33
Description Initial epair System Other Factors (.1946):
S stem Site Classification (.1948): B i
Available S ace .1945) Evaluated By:
S stein T e(s) , . S~ Others Present:
Site LTAR