IPACHTE#-13 -5-3Cr1,5% Harnett County Department of Public Health
Improvement Permit 27418
A building permit cannot be issued with only an Improvement Permit
9--o PROPERTY LOCATION: C. -fNx c) F- � "—,'Va
ISSUED T0: z-� z P.�G'l l ` f a-L-,t Q-9 cRP !g SUBDIVISION LOT # 15
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: CpvvJ C-X> \ ca l^
Projected Daily Flow: "> (- Q GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes NO No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Ma feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu a ther permits. The permit holder i re1ponsible 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 Improve m 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 T0: G- ��- �g�5��t� �0 ��`c '�?' PROPERTY LOCATION: CL-C-"vOE- \ t" )7-~-
SUBDIVISION LOT # 1�
Facility Type: tam �C d`� New ❑ Expansion ❑ Repair
Basement? ❑ Yes -1;� No Basement Fixtures? ❑ Yes -,No
Type of Wastewater System"
CC) "N rs t�L.
(See note below, if applicable ❑)
Co ccvy ra (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 1 d t �
gallons Exact length of each trench --)S- feet
Pump Tank Size
gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements:
ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: 3 CO GPD
Trench Spacing: i Feet on Center
Soil Cover: 1�--40�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 LOFT. FROM ANY PART OF SEPTI( 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 /ication. /accept the specifications of this permit.
Owner /Legal Representaf Si nature: Date:
This Construction Authorization is subject to re n if the Ian, 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 subjcomplian a �th ions he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: "I
Cons ion Authorization Expiration Date: -
Permit A
Harnett Coo nty Dep(artinent of iblic fle(alth
Site hetch
MA A!
) Z
Z' (
I
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: C Date Evaluated:
Proposed Facility: '> c2 `� / Design Flow (.1949): 3GC3 _�6
Location of Site: Property Recorded:
Water Supply: ,Public❑ Individual ❑ Well
Evaluation Method: Aug 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
Ri
5
Q-
G 5
v =V 1
Description
Initial
Systed
Repair System
Other Factors (.1946):
Site Classification (.1948): j
Evaluated By: C
Others Present:
Available Space (.1945)
System Type(s)
C r_1
Site LTAR
Ri
Q,. al�,--3