IPACHTE# Q)~-'5 ~-~033 Harnett County Department of Public Health
Imarovement Permit 2 7 0 7 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N G71 d
ISSUED TO: G R(L) Q-a3 l 'As ° !.T NA O ms`s SUBDIVISION (;,"e,. ®~~cs LOT #
NEW'X REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5E-o (L.46
Proposed Wastewater System Type: Z~-` o/cz REflU G-) i o ns g J em
Projected Daily Flow: 3 O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: mmuntty Public ❑ Well Distance from well \DO feet Permit valid for D FFive years
Permit conditions: ❑ No expiration Itt- Authorized State Agent:: ~ Q"5 Date: "7 2.. SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 6 pa ment i no way guarantees the issuanc other permits. The permit holde is res onsible 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 Improve me it 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 TO: Ga+¢.-D -c>Q,~.~SC) N4 65 PROPERTY LOCATION: N Gc~.l Q
l SUBDIVISION G wew C);b+S LOT #
Facility Type: 5;D New ❑ Expansion ❑ Repair
Basement? ❑ Yes '°k No Basement Fixtures? ❑ Yes *XNo
Type of Wastewater System** ~S°/e ~2vGSt o rr ~~+5`c t;M (Initial) Wastewater Flow: 3~ O GPD
(See note below, if applicable
ay/o- u(:,I 10 P4 Vu rof (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size MO O o gallons
Pump Tank Size t too gallons
t'F
NEEoErD
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench D-140 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. )i QL inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: 'G 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 SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If plicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representatjve ~ are: Date:
This Construction Authorization is subject to revocatio ' he site p lat, 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 compliance wit e p of aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: \.NS Date: =
Cons ion Authorization Expiration Date:
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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 Design Flow (.1949): 60 J
Location of Site: Property Recorded:
Water Supply: _.D Public❑ Individual ❑ Well
Evaluation Method:[~.'A er BoNng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(110
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
551'
1 8 R )a~
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St3 Y_ SGT
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Ulf
y- sr~
s~
r07
21
Vz~
Description
Initial
System
Re air System
Other Factors (.1946):
Site Classification ( 1948):] I
Available Space (.1945)
Evaluated By:'~Y_N
System T e(s)
Others Present:
Site LTAR
c