IPACH T E # S -5Cn Harnett County Department of Public Health
Improvement Permit 27295
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W ,cr G Q.
ISSUED TO: � gyv y l4Qn[; s L1—C- SUBDIVISION LOT #'II
NEW REPAIR ❑ E, �NSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5C0 (�+a�'`��
Proposed Wastewater System Type: Vv me -) cr /d ve t a (EAsGtoC NT
Projected Daily Flow: 410 GPD
Number of bedrooms:
4-
Basement ❑Yes
.X No
Pump Required. Yes
❑ No
Type of Water Supply:
❑ Community
Permit conditions:
Number of Occupants: 9, max
❑ May be required based on final location and elevations of facilities
Public ❑ Well Distance from well 1 h c) feet Permit valid for: Five years
ti
❑ No expiration
Authorized State Agent:: Date: '5 111113 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departm`eWt in no way guarantee suance of other permits. The permit holder is relponsible 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 oprovement 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 TO: G t',dy y �A E ----C- PROPERTY LOCATION:
SUBDIVISION Y—C- �� LOT # '7 Q
Facility Type: Sip (�'�' "6� X New ❑ Expansion ❑ Repair
Basement? ❑ Yes I No Basement Fixtures? ❑ Yes '�5 No
Type of Wastewater System ** P u ® '� S -%6 P-.ez ucr;) QJ N (Initial) Wastewater Flow: L M GPD
(See note below, if applicable ❑)
1- sGsnGtr�) (Repair)
Installation Requirements /Conditions Number of trenches 1.
Septic Tank Size I c?-,) p e7 gallons Exact length of each trench feet Trench Spacing: 1�1 Feet on Center
Pump Tank Size 1® ®C3 gallons Trenches shall be installed on contour at a Soil Cover: _ 1-�. inches
Maximum Trench Depth of: )� 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:SVPpL,-y )..)carry. %LQU' -'0y Lct) 1c, ;�Nu Vlr--,.,D 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 speciFications of this permit.
Owner /Legal Represent Si nature: Date:
This Construction Authorization is subject to revo f the sit 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 compliance w he aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 3
Expiration Date:
HTE# Permit #
Marnett County I)epartment of Miblic Health
Site SIketch
AA �j
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: Li eQ,:? v,� Design Flow (.1949): Lj',63 �
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho 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
t
O—%,
C, SL
V5r7. roINip
G
1
V rrl, s 5, J)'4 ?
PS
Description
Initial
SysteyA
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: 0
Others Present: 6A
Available Space (.1945)
j
System Type(s)
P v . s %�
PUr ag 0
Site LTAR
S