IPACHarnett County Department of Public Health
Improvement Permit 27162
A building permit cannot be issued with only an Improvement Permit
l , PROPERTY LOCATION: M &)
ISSUED T0: SUBDIVISION _ N5-) Za 1p LOT # -5
NEW; REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: B-.5 to 94z vc:: , aN yg
Projected Daily flow: GPD
Number of bedrooms: r } Number of Occupants: _max
Basement ❑Yes -e5\No
Pump Required: ❑Yes --F�QNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ltd feet Permit valid for: the years
Permit conditions -- ®� ❑ o expiration
Authorized State Agent:: :!!� �`��� \� \ Y1`� Date: c. -,,i 1 Q, SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance oPhher permits. 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 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: V-id wt, 9:Q L-'0
G ,5 PROPERTY LOCATION:
Facility Type: ->q:0
SUBDIVISION LOT # —5
New ❑ Expansion ❑ Repair
Basement? ❑ Yes J CQo Basement Fixtures? ❑ Yes No
Type of Wastewater System' G-S"lo
PZovc- t\c)r4 S 'tmr -- wN (Initial) Wastewater Flow: LAY Q GPD
(See note below, if applicable ❑)
P-�®
vu-��0'.f SY� lE ct1 (Repair)
Installation Requirements /Conditions
Number of trenches
Septic Tank Size \ c7 ® gallons
Exact length of each trench feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a Soil Cover: nches
Maximum Trench Depth of: 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:
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 app lication. /accept the specif1c.7tionr o/ this permit.
Owner /Legal Representative Signature:
Date:
This Construction Authorization is subject to tion 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 i t to complia wi
is f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: ct a'%' 1a
Cons tion Authorization Expiration Date: � -','g i`1 _
HTE # ,a' S-a-I -7 (-G Permit # - ZC-1 1"
Is 0 VFFL-a-
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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:
g aCii i�
Address: Date Evaluated: 1
Proposed Facility: J_� gj Design Flow(. 1949): 1460
Location of Site: Property Recorded:
Water Supply: Public❑ Individual El Well
Evaluation Metho Auger Bo ing El ❑ 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/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
--e'
Description I
Initial R
Repair System O
Other Factors (.1946):
Available Space (.1945) V
V E
System Type(s) L
LC-9 O
Site LTAR "
"'6 -
--e'
0 ��