IPAC RHTE #i--)- 'S-7a°lL4 o' Harnett County Department of Public Health
Imurovement Permit 27160
A building permit cannot be issued with only an Improvement Permit
��^^-- (� PROPERTY LOCATION: NG�-lp Sc�c� � to
ISSUED T0: V P�27+ FO ®lr�Sdrt �IOSr� c, SUBDIVISION LOT # Li (a
NEW)< REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S VIZ) (L)2izAL -) d
Proposed Wastewater System Type: PNVQu<i;\ON
Projected Daily Flow: 3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well k ®O feet Permit valid for: AFive years
Permit conditions: '` c ❑ No expiration
Authorized State Agent:: L6NN Date: Z-01 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 re 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 Improvement Nft 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, .1957, .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 T0: 0 N -NS5 PROPERTY LOCATION: N-4C2. ,\OSay�}i
SUBDIVISION LOT # 4'-f-
Facility Type: SAO (t -1">.. L-1 bJ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes "K, No Basement Fixtures? ❑ Yes V-�o
Type of Wastewater System ** `� -S"�o IPI yc,S tUM Sys rr� (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
v6Lie ` % (Repair)
Installation Requirements /Conditions Number of trenches 1
Septic Tank Size w (DO gallons Exact length of each trench "SO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 1a- inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
ons: H
M iNtih UM OF ors CJG'
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
�Lo inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 specifed is different from the type specified on the app lication. / accept the specircations of this permit.
Owner /Legal Representative Signature
This Construction Authorization is subject to revocation
Construction Authorization is subi Vii compliance wii
or the intended use changes.
and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Authorized State Agent: �� ���yv Date: Q,
Construct X.Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE#
Permit # Z`t 1 J i0
Harnett County IDepartment of "ihlic Health
Site Sketch
PROPERTY LOCATON: tJ Z' ZN C US i,-1
ISSUED T0: � � SUBDIVISION G wt~� 0IN LOT # i--1 L
Authorized State Agent: lZ�15 ��—�V "►0L'�oo>� Date:
;* S -ySS
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: L_i Design Flow (.1949). 10 yA
Location of Site: 3 Property Recorded:
Water Supply: __'Nublic❑ Individual ❑ Well
Evaluation MethodiAuger Bonng ❑ Pit ❑ Cut
Type of Wastewater: 7zksewage ❑ 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/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
�'qo
3
P-5
c
Nr
an
,® IT'�g� G.t�
'� •'�i ~J ii
f� ��� c./'
°.
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948): <j
Evaluated By:��\
Others Present:, R
Available Space (.1945)
V
System Type(s)
`c d(a7
aJ
Site LTAR
3