IPACHTE #\3 -5 Harnett County Department of Public Health
Improvement Permit 27257
A building permit cannot be issued with only an Improvement Permit
t PROPERTY LOCATION: NG�
ISSUED TO: SUBDIVISION \ o rv'Ta LOT #
NEW REPAIR ❑ Ex SION El
Type of Structure: 4
Proposed Wastewater System Type: QQ'� ° /r, vG1 a -1
Projected Daily Flow: �� GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well 10 feet Permit valid for: X Five years
Permit conditions: -- ❑ No expiration
Authorized State Agent:: :� Date: 91 1 '� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit holder is tesponsible 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 Improv 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
Reouired 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: 0C"w PROPERTY LOCATION:
SUBDIVISION Gf—,4 90 ) 14-s C LOT #
Facility Type:5�1 ^�` 3 O� New ❑ Expansion ❑ Repair
Basement? ❑ Yes _ZF\ No Basement Fixtures? ❑ Yes No
Type of Wastewater System **
(See note below, if applicable ❑)
�'v 'Ile � � �„S o QG.o�� � old (Repair)
Installation Requirements /Conditions Number of trenches L
Septic Tank Size t ®613 gallons Exact length of each trend
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 30-9
(Trench bottoms shall be level to
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
feet
inches
(Initial) Wastewater Flow: — 6O GPD
Trench Spacing: Feet on Center
Soil Cover: 4'- _ ) & inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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: / understand the system type specified is different from the type specified on the application. / accept the speciTcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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 is subje t ompliance wi o e s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ? _
Construc ' Authorization Expiration Date: =�
HTE# Permit #
Harnett County Department of 1-tblic Health
Site sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON:
SUBDIVISION 1 1-4 CC LOT #
,14;r66)y 61_21c�ly-5DOqy Date:
M
Pump
IV
L
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 Opq�4\S Design Flow (.1949):3{
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Methoda Ek Auger Boring ❑ Pit ❑ 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
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
J r—
4.!
0
f„' �
v .
V V b
�'-&
�, Shy ,1'... �J �
F— .�✓ i
J
ISS .
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: _
Available Space(. 1945)
System Type(s)
S 's
U
Site LTAR