IPACHTE# j 7- -S- 2.5- Harnett County Department of Public Health
Improvement Permit 27201
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: *boj j7w p' lL�
ISSUED T0: c SUBDIVISION �, Cif 64l 3 6VLMS LOT # T
NEW 5K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5f7
Proposed Wastewater System Type: 2 19�01a (16bQ T,) f- -
Projected Daily Flow: Li elo GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes_, - 2No /
Pump Required: I*11es ❑ No C'May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2`1Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for: Give years
❑ No expiration
Authorized State Agentr'' oo ` Date: G9 " — t'2- SEE ATTACHED SITE SKETCH
The issuance of this permit y 6eAealth 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
(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: C tr13J <_ PROPERTY LOCATION: 'SIUV..zt
SUBDIVISION 14NSCI.) i S LOT #
Facility Type: /New El Expansion El Repair
Basement? El Yes No Basement Fixtures? ❑ ^
Yes o
Type of Wastewater System ** p6if to ZS 1k" f (Initial) Wastewater Flow: Lf 96 GPD
(See note below, if applicable ❑)
� i-ITS-6 LP/" (Repair)
Installation Requirements /Conditions Number of trenches -3
Septic Tank Size f ZD0 gallons Exact length of each trench i 33 feet Trench Spacing: �_ Feet on Center
Pump Tank Size ! W0 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: . L inches (Maximum soil cover shall not exceed
3° �itS..cP C1BU2s (Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
40 inches below pipe
Z- inches above pipe
inches total
* *If applicable: /understand the system type specifed is different from the type speciped on the app /ication. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dlan. 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. SEE ATTACHED SITE SKETCH
Authorized State Ag Date: —/"3 lZ
Construction Authorization Expiration Date: 1:; /0- °l 7
HTE # I Z — 5' — 7, 761 -
H(arnett County Department of Public Health
Site sRetc h
PROPERTY LO(ATON::)vf efoz±�-- X6
ISSUED TO: SUBDIVISION % 0*1z— i LOT
Authorized State A-ent: / kX 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: I) 1'c::v Design Flow (.1949)ycp
Location of Site: Property Recorded:
Water Supply: (Public❑ Individual ❑ Well
Evaluation Method: uger Borp'g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
i
L
L
��, ';�d 1P
3 -1
&- lit
s(f - If
.1 mss= +
t
3
L_ `
&- p
36
Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification ):
Evaluateted e By:
Others Present:
Available Space (.1945)
System Type(s)
2r"
Site LTAR