IPACHTE# 6 54-dON-14 Harnett County Department of Public Health
Improvement Permit 27176
A building permit cannot be issued with only an Improvement Permit
,\ PROPERTY LOCATION: W1
ISSUED TO: Sf\Y`ty SUBDIVISION GN1.P,vs P:Zt<1S LOT #
NEW X REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5�4 (�O °n �S' 2a
Proposed Wastewater System Type: IP u M?—' cy
Projected Daily Flow: t-T&0 GPD
Number of bedrooms: 4 Number of Occupants: q max
Basement ❑Yes No
Duc'7)oN
Pump Required - �Ikes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -X Public ❑ Well Distance from well 100 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: to J 1,8I 1')6. SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ti nce 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: SP'11'4') V�oM� PROPERTY LOCATION: \Ame Qb
SUBDIVISION \,P�L —p.N '9 5 LOT # G
Facility Type: S 'Fo 4ri C�S� New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'A No Basement Fixtures? ❑ Yes 'K No
Type of Wastewater System ** Py r�i' `�0 2-S °Z• Z 6—DL CS10sv 'S`SC:M (Initial) Wastewater Flow: i10 GPD
(See note below, if applicable ❑)
-PQ —<7v �S �® 9- i9ur,—C QcJ (Repair)
Installation Requirements /Conditions Number of trenches _ _ _I__
Septic Tank Size 100 0 gallons
Pump Tank Size ! 0 a V gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 0
Trenches shall be installed on contour at a
Maximum Trench Depth
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: aG inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Represents natu e: Date:
This Construction Auth ation is subjec to re io '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 Authorizatlorz�is-s ct to compli wit 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: �'' �`� CAS Date: 1 q vc
onstruction Authorization Expiration Date: 0)'A
M
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: j
Address: Date Evaluated: Id�l�11�
Proposed Facility: t j p(pvnc Design Flow (.1949): 4,609
Location of Site: Property Recorded: l
Water Supply: Public❑ Individual ❑ Well
Evaluation Method- El Auger Bong ❑ Pit ❑ Cut
Type of Wastewater: -_U 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
1S
ao-34,
5 -.5
�o Z
d -�
,,
36A)
k
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:. -G,."
Available Space(. 1945)
System T e(s)
? JAm
o
Site LTAR
�tS
1S