IPACHTE Harnett County Department of Public Health
hDrovement Permit 27183
A building permit cannot be issued with only an Improveme�jt Permit
\ PROPERTY LOCATION: 2C:.
ISSUED TO: e�,c yy 1 �O a1E.S SUBDIVISION N� �N F�n.2c�s LOT # 4-1
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SAO xy b
Proposed Wastewater System Type: Qv
Projected Daily Flow: LM `3 GPD
Number of bedrooms: y Number of Occupants: _max
Basement ❑Yes No
Pump Require ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ',5k Public ❑ Well Distance from well kC) feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: `<b � �— SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees tt ce 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..
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: 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.
*If applicable: !understand the system type specified is different from the type specified on the app lication. / accept the specifications of this permit.
Owner /Legal Representatly tare: Date:
This Construction Authorization is subject to revocatn 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 skke�Lto compliaithe 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: i D iA
Co action 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 T0: 5vvy�
PROPERTY LOCATION:
C'-�ZX—D `S� �����
SUBDIVISION E.N i.P,N.2fti5
LOT #
Facility Type:
New ❑ Expansion ❑ Repair
Basement? ❑ Yes 4E� No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** 9V mQ-'Vd
a5 6/d d 5 -i3r-D�-m
(Initial) Wastewater Flow: IMO GPD
(See note below, if applicable ❑)
_
Q v K,P o
�S'�� V,E )VQ;< \0N (Repair)
Installation Requirements /Conditions
Number of trenches 1
Septic Tank Size 1a pc) gallons
Exact length of each trench '\'%O feet
Trench Spacing: Feet on Center
Pump Tank Size )c0 0 o gallons
Trenches shall be installed on contour at a
Soil Cover: 4 inches
Maximum Trench Depth of: 1`b fSC 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
Conditions:
inches below pipe
Aggregate Depth: 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.
*If applicable: !understand the system type specified is different from the type specified on the app lication. / accept the specifications of this permit.
Owner /Legal Representatly tare: Date:
This Construction Authorization is subject to revocatn 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 skke�Lto compliaithe 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: i D iA
Co action Authorization Expiration Date:
H T E # to 5-a") %30
Harnett County
Permit # 2-11�b3
Department of lNiblic Health
Site Sketch
PROPERTY LOCATON: W tE1C.
ISSUED TO: SUBDIVISION ` LOT #
Authorized State Date: \a-
LOS 1 s Gi�TL(�,p
Lo I
56\'
MI CM
}
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-1 QG4Do0(50) Design Flow (.1949): ►�'rj� �i?
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:KAuger Boring ❑Pit ❑Cut
Type of Wastewater: ZISewage ❑ 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
It
� `
S
Description
Initial
S st m
Repair System
Other Factors (.1946):
Site Classification (.1948):5
Evaluated By:C�
Others Present:
Available Space(. 1945)
System Type(s)
Site LTAR
It