IPACHTE# V� -S- t3 Harnett County Department of Public Health
Improvement Permit 27278
A building permit cannot be issued with only an Im rovement Penit
PROPERTY LOCATION: EoG4
ISSUED TO: }� �o�ts` 2v `;�' d 2.S SUBDIVISION �K� v -,4�C" LOT # )Z`7
NEWT REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5%cFQ ` "s'L61"
Proposed Wastewater System Type: a °/o 0 ,J
Projected Daily Flow: ��6 GPD
Number of bedrooms: Number of Occupants: Tb max
Basement ❑Yes KNo
Pump Required: []Yes 'KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well tod feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: X115 Date: a I -a 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan her 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 Improveme ermit 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: H -1"" PROPERTY LOCATION: � KGs Q
SUBDIVISION ak"' i^ O t� , LOT # >3 i
Facility Type: SFG� '%X 1� � New ❑ Expansion ❑ Repair
Basement? ❑ Yes _>< No Basemment Fixtures? El Yes ANo
Type of Wastewater System" dX- to Gov �,' \ O sJ Sys ; Gm (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
G_ L_ 21>LOc,;\ e- (Repair)
Installation Requirements /Conditions Number of trenches 6
Septic Tank Size N 2-s ® gallons Exact length of each trench 100 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: aL4'Co inches
Maximum Trench Depth of: 3C"l"i 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
5 Aggregate Depth: inches above pipe
Conditions: fl n N OT 0 s e S, � N5' Vs G p� (r51� �p Q ,��, Ci svE inches total
CO N1N"VOUS L 1N1—
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 speciped on the app lication. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to tiotl if, he 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 s ' mpliance w `" ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: �� °� Date:
Construion Authorization Expiration Date: LOIN 1
HTE# Permit #
Harnett County Deplatment of Public Health
Site Sketch
PROPERTY LOCATON: Q o C'5
ISSUED TO: NA 1 C4N5 2 C;�` 0 (t,S SUBDIVISION dP. rwN5 LOT #
Authorized State Agent: -Z' Date: '13
I � -) r
M
18 �s O.,, L. 0
.09
H
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: a}�3�,�
Address: Date Evaluated: 1
Proposed Facility: Design Flow (.1949):C o j�
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ 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
o
°Q)�
Description
Initial
S st
pair System
Other Factors (.1946):
Site Classification (.1948):?'$
Evaluated By?3'\
Others Present: —�
Available Space (.1945)
System Type(s)
`1�
�rJ't
Site LTAR