IPACHTE# Harnett County Department of Public Health
Improvement Permit 27287
A building permit cannot be issued with only an Improve nt Permit
PROPERTY LOCATION: s
ISSUED T0: SUBDIVISION 1� C. LOT # -4
NEW CSC REPAIR ❑ EXPA ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 171 esn �(A �,
Proposed Wastewater System Type: °)v f-GQVC: \o'Q
Projected Daily Flow: "> o GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1®cl1 feet Permit valid for: .Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 31 'S' 113 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaran ees �Thevennent of other permits. The permit holde is res ansible 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 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 T0: C-''�� �'s �� e �� k PROPERTY LOCATION: �ss C4
F, SUBDIVISION G>-+>. )A-5 \�c ; `�C -21 LOT # �
facility Type: i'�dp Q� ,^'`abJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes �R No Basement Fixtures? ❑ Yes 'X No
Type of Wastewater System ** 'L '0 /o 0G—• C1 ^0 S i55G -rr, (Initial) Wastewater Flow: 3�® GPD
(See note below, if applicable ❑)
e ycb,e70 �.., ;" %e e G0ycf:los- (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size S OO V gallons Exact length of each trench Q97 feet Trench Spacing: �! feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (n inches
Maximum Trench Depth of: N l 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
Aggregate Depth: inches above pipe
Conditions: -SF-- T AN.c �S S� ,P�Lz cy� t �� Q LC 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 speciFcations of this permit.
L Owner /Legal Representative Signature: Date:
This Construction Authorization is sobje 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 subject to complian% a pro s of the Laws and Rules far Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
CGI--'� Date: 3
Authorization Expiration Date: 3 S
HTE # 125 3� W1 Permit #
Marnett County Department of Ali lice Health
Site Sketch
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:
Address:
Proposed Facility:�3cg(2Sa'�
Location of Site:
Water Supply:
Evaluation Method: er B
Type of Wastewater:
Date Evaluated-1 ) ))) 3
Design Flow (.1949): p,j�)
Property Recorded:
turg blic❑ Individual El Well
❑ Pit ❑ Cut
Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
1
3
C.
_
e�
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
/d
Site LTAR
. 3