IPACHTE 3a Harnett County Department of Public Health
Improvement Permit 27170
A building permit cannot be issued with only an Improvement Per
PROPERTY LOCATION: G 11-4w; tZD 61
ISSUED TO: PAYVy ��Q � SUBDIVISION LOT # c)
NEWX REPAIR ❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 *'0 (S C'tLi3
Proposed Wastewater System Type: ' .S /rt 1ZEoy��dN ��'s )rrn
Projected Daily Flow: L4—*6U GPD
Number of bedrooms: 9 Number of Occupants: _max
Basement ❑Yes No
Pump Required: []Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
,Five years
❑ No expiration
Authorized State Agent:: V*--v� S Date: 10 1 'n SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss 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..
WATER LINES (IN(LUDING 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 specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subje—cl-topyocation jQhe 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 is subjec`to complkce wi r ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: `s\5 Date: It
nstruction Authorization Expiration Date:
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: S P\ Vy A" ('6
PROPERTY LOCATION: EQPap
(�2
l
Facility Type: S� ����/
SUBDIVISION 1c�,��.p,ti
% New ❑ Expansion ❑ Repair
�sa2t�5 LOT # 45
Basement? ❑ Yes �° No Basement
Fixtures? ❑ Yes XNo
Type of Wastewater System ** 2...So /o
OU"A N a N 5 y s-f°r-J"-,
(Initial) Wastewater Flow: �� d GPD
(See note below, if applicable ❑)
"-S Vo
Zr>Z)uC;5 -1 tsy S-1 :)-T&M (Repair)
Installation Requirements /Conditions
Number of trenches 1
Septic Tank Size gallons
Exact length of each trench a452 feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: - )a inches
Maximum Trench Depth of: I '30 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
Conditions: L-PTiOQ -, -7¢
Qt.� V";7-1 60- S CA-r✓,A
Aggregate Depth: inches above pipe
Z- inches total
WATER LINES (IN(LUDING 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 specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subje—cl-topyocation jQhe 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 is subjec`to complkce wi r ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: `s\5 Date: It
nstruction Authorization Expiration Date:
HTE#
ISSUED TO:
Permit # �7 1—1 0
Harnett County Department of I'Vblic Health
Site sketch
PROPERTY LOCATON: 5 �)6 �
SUBDIVISION Y-1,-i"L.At4 rr�--9,NN5 — LOT #
Authorized State Agent:
Date: L01 t I a
\451
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: ��� 6 \
Proposed Facility: tj t3(1XZCxa °5 Design Flow (.1949): L'"")c
Location of Site: Property Recorded:
Water Supply: . ublic❑ Individual El Well
Evaluation Method. Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ^-Se 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
I & LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
1
O'� ?�
G 5
�5 �►�
'S
,Lil
S t,
vyn
3
0-33
G 5
Vi�1 '-�iv(:
33 31`
-5 ;C L-
Try, ";j5
'S
Description
Initial
SystOn
epair System
Other Factors ( 1946):
Site Classification ( 1948): -
Evaluated By: C)\
Others Present:
Available Space (.1945)
System Type(s)_St
/t
2d1
Site LTAR
'�
5
cL ti 2.(7" Q)Q V,N jR� LA oe\