IPACH T E # r�. --sb`� Harnett County Department of Public Health
Improvement Permit 27152
A building permit cannot be issued with only an Improvement P rmit
PROPERTY LOCATION: IDCDC s
ISSUED TO: CC> "5-1 Q'U cr, 0(L-. h C. SUBDIVISION ®PA4,na ht'i M LOT # Vi
NEWX REPAIR XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5gP 36 ,,Q
Proposed Wastewater System Type:2- c/' c
Projected Daily Flow: qS® GPD
Number of bedrooms: fit-- Number of Occupants: max
Basement [--]Yes � No
Pump Required: ❑Yes 1 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well X00 feet Permit valid for: ,Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: �\\ 4
The issuance of this permit by the Health Department in no way guarantees the issuance
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date:
SEE ATTACHED SITE SKETCH
The permit holder is lesponsible for checking with appropriate governing bodies in meeting their requirements. This
all not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: VA '' l
N5-SCZ,yc. -;o2S �HCe
PROPERTY LOCATION: �o
��
Facility TVDe: o
C � �,, New
SUBDIVISION 0f y -mo-r:
❑ Expansion ❑ Repair
PN 1 LOT # ti16
Basement? ❑ Yes -,M\ No Basement Fixtures? ❑ Yes -No
Type of Wastewater System" aS °lb '9 s 0(5;t g r, S--Y s--< Gfr. (Initial) Wastewater Flow: 4�0 GPD
(See note below, if applicable ❑)
/o VkZD'.f(t:ct0W S--J`5 G.S`- (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size fy gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench '-2® feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. \"3 -a t inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: CD 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 applicable: I understand the system type specified is different from the type specired on the application. l accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocau � e site pl Iat, 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 subjec~mpliance wti�Lthe, t vs and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: q
Constructio thorization Expiration Date: _
HTE# Permit # Xl )S 3-,
Harnett County Department of Public He(,Iltli
Site sRetell
PROPERTY LOCATON: 0 C�s V-'S�
ISSUED TO: NAB� A g',Zt;-QZS IN SUBDIVISION AL LOT
Authorized State Ag�entt:: �-6
6—w &L, 7c))—y—wq) ate:
)OL, ,
I — I-- -- ~ 1 1 3
I PF-PR)(Z— I
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: j Q (,(j "frDesign Flow (.1949): 1.i0 o}. f
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
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
i
0-ZJID
rTexture
�G L5
e
i
S�
Description
Initial
S sterp
Re air System
Other Factors (.1946):
Site Classification (.1948): P
Evaluated By:
Others Present: la-Al
Available Space(. 1945)
System T e(s)
'
Site LTAR
to
"+S
'4,—"70 (,2, 1t-a2j