IPACHTE # - Harnett County Department of Public Health
Improvement Permit 27202
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION :;OCjK — ; ? dz a-s n-r m t'Z D
ISSUED TO: - OT/z , cr =mac -'te CJ4ZZZ �; SUBDIVISION LOT #
NEW E — •PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M 4
Proposed Wastewater System Type: G% 20#xVt-f - )-:§3
arka—
Projected Daily Flow: 3& 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes C�Noo
Pump Required: ❑Yes ❑ No Zlakybe required based on final location and elevations of facilities ,,�
Type of Water Supply: E] Community Ir Public Well Distance from well s G a i feet Permit valid for. 0 years
Permit conditions: ❑ No expiration
Authorized State A ° Date: ''? °- Z"i' - I Z SEE ATTACHED SITE SKETCH
The issuance of this permit the ealth 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 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 T0: (.rA',, /7cdc. - AnrJ or!n5 PROPERTY LOCATION: a'21 �-
SUBDIVISION LOT #
Facility Type: -5 IV-0 d New ❑ Expansion ❑ Repair
Basement? ❑ Yes Q" No Basement Fixtures? ❑ Yes 2
Type of Wastewater System ** ZS FAG u , ;;;,g hi" (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) If
2 A5 -1F '2is iRR�'V 4 -- 2 � , - 2- (Repair)
Installation Requirements /Conditions Number of trenches Z
Septic Tank Size 1 60 0 gallons Exact length of each trench 17-0- feet
Pump Tank Size ,/ d tt Zt gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 22 - I-, inches
(Trench bottoms shall be level to +/ - 1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
IP inches below pipe
7-- 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.
N
* *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 ownershin of the vita Thk
lonstruction 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 A Date: Y Z-�'' -f Z
Construction Authorization Expiration Date: '-� 'z is - r
HTE # t t Z, 2 '1-7 Z L Permit # 2 Z0 - 2—
H(arnett County 1)ep(arfinent of Miblic Health
Site slietch
PROPERTY LOCATON: yk." 'L PC)
ISSUED TO: ITS -SUBDIVISION LOT #
Authorized State AgkW7�k�, Date: Z..6 — I Z_
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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 '� t
Proposed Facility: 1 5u TY ` A Design Flow (.1949)3L�',,:�
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
Location of Site: 5 - Pvw-&?,_ Property Recorded: 1 _'J9
Water Supply: ❑1ublic❑ Individual Nell " ❑ Spring
Evaluation Method: ❑32Cuger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑wage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PR OFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
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Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: t:7
Others Present:
Available Space (.1945)
System Type(s)
FI; `
Site LTAR
Lf