IPACHTE# to-s-5s~ Harnett County Department of Public Health
Improvement Permit 27053
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: )No m-f_5 1_LC. SUBDIVISION LOT # 1'9
NEW)< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'`O( S}
Proposed Wastewater System Type: Z-S'*16 ~Efl y ~f aN ;5:~
Projected Daily Flow: o GPD
Number of bedrooms: Number of Occupants: $ max
Basement ❑Yes XNo
Pump Required: ❑Yes -191o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >k Public ❑ Well Distance from well 1 C? 0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department i no way guarantee the issr u}Ee of other permits. The permit holder is respoisible 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 Impr ement 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, .1950. 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: Savvy ~iov, us LL (7, PROPERTY LOCATION: W In.-_ 9__0
SUBDIVISION LOT # ti't
Facility Type: 5F0 'X New ❑ Expansion ❑ Repair
Basement? ❑ Yes "X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** W 1/e ?-NZ QQc tya J tern (Initial) Wastewater Flow: LAY U GPD
(See note below, if applicable}
9~M-4 I<L, %Lo G14-- (Repair)
Installation Requirements/Conditions Number of trenches 'Z-
Septic Tank Size tO0 gallons Exact length of each trench -1 !9' feet Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installe on con o Soil Cover: -2% inches
MiM Trench Depth f. 40 1 hes (Maximum soil cover shall not exceed
(Trench bottoms shall be le 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
s V
Conditions: \v G'S"~C.. rL.F,~+G'~c} NA inches below pipe
Aggregate Depth: inches above pipe
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 Representatl ature: Date:
This Construction Authorization is voc ' - the site plan, t 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 su ` liance wit ro " of the sand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ZuL
Cons "n Authorization Expiration Date:
HTE# Permit # a~ 053
Harnett Connty Department of It lip Health
Site Sketch
ISSUED TO: s
Authorized State Agent:
PROPERTY LOCATON: W 14.F Qx,
SUBDIVISION k~v`„Aea ~S LOT #
-~5 Date: Sla~l' 1~-
N e ¢ v
,
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: 4 f1' V_QS Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ 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 SOIL MORPHOLOGY
I .1940 .1941
OTHER
PROFILE FACTORS
L Landsjape
E Positio.1941
# Slope Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
D th IN.
.1956
Sapro
Class
•
Restr str
Horiz
Profile
Class
& LTAR
C'
TC31<'~C,I~r
r
t-Yl'~J ~c 5
L nt
t
N\R
5g~. Sc.~.
~R y 5 ~
f
Description Initial
S st
Repair System
Other Factors (.1946):
Site Classification (.1948): QS
Available S ace .1945)
Evaluated By:~
S stem T e(s)
nc
Others Present:
Site LTAR _
Q,n