IPACHTEAHarnett County Department of Public Health
Improvement Permit 27067
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NtZ--)
ISSUED TO: ~E~crsGSk'~ CurnrINV-AG.S SUBDIVISION T.N6F.a c)1gT LOT # lal
NEW, REPAIR EI NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~M
Proposed Wastewater System Type: °/o ~~oUG: SJ Al y51tvf'
Projected Daily Flow: 3 S~, 0 GPD
Number of bedrooms: 3 Number of Occupants: Co max
Basement ❑Yes A No
Pump Required: ❑Yes ~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: G 1' SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o ermits. The permit holder is respo sible 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 i
nto this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: ~C-.~r1C~~i
`•,.,~s rnc~~N 6 7 PROPERTY LOCATION:
G'ay1
SUBDIVISION '~T~4w c t
o) N~ LOT # 1~O
(5
Facility Type: GR
X New ❑ Expansion ❑ Repair
Basement? ❑ Yes lk, No
Basement Fixtures? ❑ Yes No
Type of Wastewater System**
-Q.G7o ~ovG~ 0N ~ay5z~sq--,
(Initial) Wastewater Flow: 3(vC4 GPD
(See note below, if applicable
a4;111' Q-4-,4U G'S~0 1J Sys ~~t~ (Repair)
Installation Requirements/Conditions Number of trenches
C~
Septic Tank Size ' O a O
gallons Exact length of each trench ~v0 feet
Trench Spacing: 1 Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a
Soil Cover: c--' inches
Maximum Trench Depth of: -7~~ 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: 1 understand the system type specified is different from the type specified on the application. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is to revocation if the sitkplan, 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 ctcomplianc~t~ ision a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ce I?
Constru ' n Authorization Expiration Date: G
12.-5-a~12.ty
HTE# Permit # :l O~`Z
H(arnett County Department of Public Health
Site sketch
PROPERTY LOCATON: N G~--l
ISSUED TO: c°*,tN GS SUBDIVISION 11 4G6x 4 @o LOT # 1~.>
Authorized State Agent: R `~5 W-J weq---7 Sid Date: 6\
~S.
Aga'
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1 to ~
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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:
Proposed Facility: ~[ZOt~rr Design Flow (.1949): 3'(,G
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
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
L
V'4 s1
r~
~S
3 ~ ~
2 `Z2ac.~
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space(. 1945)
141
_j
Evaluated By:
System T e(s)
'a
Others Present:
Site LTAR
_~k