IPACHTE# j �, arnett County Department of Public Health
Improvement Permit 27254
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ®',-p
ISSUED TO: CVz4 %�.� � CL, �44ryx---s SUBDIVISION LOT # H3.
NEWX REPAIR ❑ EXPANON ❑. Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
`-aC" ��Psea NUcn� 38 �6C7'
Proposed Wastewater System Type: 2 S"iQ
Projected Daily Flow: GPD
Number of bedrooms: -' Number of Occupants: max
Basement ❑Yes ',Eq No
Pump Required: ❑Yes K-No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -�< Public ❑ Well Distance from well S ®O feet Permit valid for: Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: Date: Q-I 4 � U SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance h permits. The permit holder is re ponsible 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 it 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, .1957, .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: C-6 U "C( 0- -) \Ao PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: 5FQ �t`�P+c� �tOt� �a`b%`bU_J New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes %f ;-�/ No
Type of Wastewater System ** a5:z °jo 'P\6ovC;y t U "4 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 1 ® "� Q)' gallons Exact length of each trench feet Trench Spacing: (21 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1'S° g inches
Maximum Trench Depth of: a x=30 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4" 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: I understand the system type specified is dif /erent /rom the type specified on the application. / accept the specifications of this permit.
Owner /Legal Representati nature: Date:
This Construction Authorization is subject to revoca�site pl n, 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 sucompliance the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: � �y \h\ � S Date: -Z Ji4 33
Authorization Expiration Date: �- I 1-1 I iv
HTE#
ISSUED TO:
Authorized State Agent:
Permit # �n -Q,5
Harnett County Department of Public He(alth
Site Sketch
N
PROPERTY LOCATON:
fn Lt-?, SUBDIVISION LOT #
@- 15 6t–A,4 C2 1wa�-.4 Date:
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: �3 t j Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual Well
Evaluation Method] Auger Boring ❑ Pit F1 cut
Type of Wastewater: 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
pthIN.)'
—
.1956
Sapro
Class
.1944
Restr
Horiz
1
V
�sS J
Description
Initial
Systerp
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: —.
Available Space (.1945)
;l
System Type(s)
_Q�5`f
Site LTAR
S
45