IPACHTE - ,s -a '15-81- Harnett County Department of Public Health
Improvement Permit 27131
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C%Q-Cj_ AfJ
ISSUED TO: SUBDIVISION LOT #
NEW Itt' REPAIR ❑ EXPANSION ❑
Type of Structure: ,M 9 16 7R
Proposed Wastewater System Type: C. o Y, Vv -.-�' c ---R,
Projected Daily Flow: a `� C3 GPD
Number of bedrooms: r2 Number of Occupants: y max
Basement ❑Yes [7' Io
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes 1?1'-No ❑ be required based on final location and elevations of facilities
Type of Water Supply: E] Community Ma Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
El--Five years
❑ No expiration
Authorized State Agent:: G�/7c��y�v'� /�� K� Date: r1 � `�(2 °/ z SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible 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: M AQ / PROPERTY LOCATION: l�� -r-�e c� c y� u, c �°1•
SUBDIVISION LOT #
Facility Type: M N / X 7 z L✓I New ❑ Expansion ❑ Repair
Basement? ❑ Yes 12' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** C o 'L ye (Initial) Wastewater Flow: z y GPD
(See note below, if applicable ❑)
Gates J4,,.- (Repair)
Installation Requirements /Conditions Number of trenches .3
Septic Tank Size /600 gallons Exact length of each trench 90 feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 } c9 inches
Maximum Trench Depth of. /8- 2.0 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: ►Jro,= ( -tc.f Co /I t n d!' 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 Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Jtt AI IALMtU Mit MILM
Authorized State Agent: c- o:. �c� Date: / /,?a/ Z
Construction Authorization Expiration Date: moo/
r-
�f
HTE # '' 5-8 C Permit # ai /,� /
Harnett County Department of 'Vblic Health
Site Sketeh
PROPERTY LOCATON: eq.
ISSUED T0: G k�ne.,� �,y, iti ��o �� SUBDIVISION LOT #
Authorized State Agent: w c Cw Date: /`�� �� 2
,30f4. e--zM-4- 4
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant: 8 /3/
Address: Date Evaluated.
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: dj�lbllc ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ger Boring ❑ Pit ❑ Cut
Type of Wastewater: [Sewage ❑industrial Process C1 Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
LTAR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
7%
b-.Z 1
G / LSS
OKe--AJ1�?
77
PIK /C
-2.3
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): n%
Available Space .1946 Evaluated By:/j v�
System s ) Others Present:
Site LTAR