IPACHTE# Harnett County Department of Public Health
Improvement Permit 27063
A building permit cannot be issued with only an Improvement Perm'
~-y PROPERTY LOCATION: ~1 A2'G.5
ISSUED TO: SUBDIVISION ~,1'~EX02S~ LOT #
NEWX REPAIR E3 NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:-('a
Proposed Wastewater System Type: Z-X;°Ja UC7,
Projected Daily Flow: tsi GPD
Number of bedrooms: t• Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No El May be required based on final location and elevations of facilities
Type of Water Supply: El Comm Public El Well Distance from well E60 feet Permit valid for. five years
Permit conditions: ~ ❑ No expiration
Authorized State Agent:: ~ Date: b ~0 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department th no way guarantees the issuance o r_ mits. The permit holder is responsi le 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 ermit 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 T0:,oCi PROPERTY LOCATION:
SUBDIVISION QNSH6f MV LOT # '12
Facility Type: SFO X 3~ 1 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~"o Basement Fixtures? ❑ Yes No
o y C-_ J~ (Initial) Wastewater Flow: L1i Q GPD
Type of Wastewater System** ~o U c,• L~ 'N'
(See note below, if applicable
2 ~j o CO VC.i ~ O')j J~)S i ~n (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1 O® d gallons Exact length of each trench 15' O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of:inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: N inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to ion if the site plan, pla4 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 omplian the 'ons the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: laS Date: ~d
Cons ion Authorization Expiration Date:61 d 1"1
HTE# \D--5-21i Y53 Permit # BOO
Harnett County )epartr ent of Public Health
Site Sketch
gs'
c~ a
Loc:)(--"JOOD `QQ-
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: C~CQZC Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: y~, ublic❑ Individual ❑ Well
Evaluation Metho4 tkA_ u er Boring ❑ Pit ❑ Cut
Type of Wastewater: ~J 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
& LTAR
S
0-)4k
Description
Initial
S ste,
Repair System
Other Factors (.1946):
Site Classification (.1948);
Available Space (.1945)
Evaluated By: C'C
System T e(s)
3
Others Present:
Site LTAR
c