IPACHTE#V2~,-S-~~'0:1'~l Harnett County Department of Public Health
Imurovement Permit 27064
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: e466 r-4 Vno
ISSUED TO: g L-L- \A4m* --s SUBDIVISION 'PP - oral '90-N~7- LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'SFQ Q'5~: 3d)
Proposed Wastewater System Ty pe: u rnP d o wvt,'~ )~N
Projected Daily Flow: 3 C~.« GPD
Number of bedrooms: 3! Number of Occupants: max
Basement ❑Yes XNo
Pump Requiredt^s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "X Public ❑ Well Distance from well l bd feet Permit valid for. 'Five years
Permit conditions: s ❑11o expiration
Authorized State Agent:: Date: t, .a-S~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o o r permits. The permit holder is response ile 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
Reauired 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: PROPERTY LOCATION: r.S n► D
SUBDIVISION pcxRO~S ON ~ LOT #
Facility Type: SSJ `rya- ®J New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes p 'X No
Type of Wastewater System** Jrn2~'o ~°Jo 4-~)uL'S) O(Initial) Wastewater Flow: GPD
(See note below, if applicable _ `
QV n4-7- a [o ?EpvC-S"'\ 0?.1 (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 10 0 0 gallons
Pump Tank Size o 0010 gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 150 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 'fib' J.:t-1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: c- Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPT[( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. -
**If applicable: l understand the system type specified is dif/erent from the type specified on the app/icatiom / accept the specipcations of this permit.
Owner/Legal Representa eve Signature: Date:
This Construction Authorization is subject to revo ' f the site pla la( 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 subjempliance wit,p f t and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: \P~= Date: r-
Constructionn'hOorization Expiration Date: 6 o I'~
HTE # ia= 5 a~ 0--l
Harnett County
ISSUED TO:
Authorized State Agent:
Permit # 170rL+
e partnnent of Miblic Health
Site s etca l
PROPERTY LOCATON: L c N 1~
SUBDIVISION (~MyrsS rT LOT
GL 'CaT ;~,SS7o(~ } Date:
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: 3 J~ Design Flow (.1949):-36(3~
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method~Auger BBo 'ng ❑ Pit ❑ Cut
Type of Wastewater: L~JC Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LIAR
t-S
1451 Pe
Description
Initial
system/ .
epair System
Other Factors (.1946):
Site Classification (.1948):-5
Available Space (.1945)
Evaluated BY• $
System T e(s)
tf
` 6
Others Present: -
Site LTAR
'6"C'