IPACHTE# ��'�°�� Harnett County Department of Public Health
Improvement Permit 27420
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: a m A*i v t-
ISSUED TO: SUBDIVISION LOT #
NEW REPAIR 11 E PANSION ❑
Type of Structure: MPe4. 1 -10M—
Proposed Wastewater System Type: °% V g-p'iy� s ON -/5-TE "
Projected Daily Flow: a-4 ® GPD
Number of bedrooms: a Number of Occupants: Z max
Basement ❑Yes X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ,N No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public AN, Well Distance from well 1 ®C1 feet Permit valid for: X Five years
Permit conditions: ���G ❑ No expiration
��� ~ 5 411113 SEE ATTACHED SITE SKETCH
Authorized State Agent:: Date: �f
The issuance of this permit by the Health Department in no way guarantees the issuance of ott mits. The permit holde�espbnsible 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 Improvement Permi 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: soQ EGc.- �>fy � PROPERTY LOCATION: 0 �5 �AKMGSt
SUBDIVISION LOT #,_5
Facility Type: ��'+� �or�6<i��x8 ®� New ❑ Expansion ❑ Repair
Basement? ❑ Yes X, No
Type of Wastewater System **
Basement
-S °la
Fixtures? ❑ Yes 'X No
�y�1 CJAf S `y SIT F -PiN
�` /+�
(Initial) Wastewater Flow: a40 0 GPD
(See note below, if applicable ❑)
2016
S!"Y3 T
c,
E 6 (Repair)
Installation Requirements /Conditions
Number of trenches %
Septic Tank Size
gallons
Exact length of each trench 140 feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: at-1 3jo 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:
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 speclTed on the application. / accept the specifications of this permit.
Owner /Legal Representative e: Date:
This Construction Authorization subject to revocation Z4,
Ian, 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 "e mpliance with o o s d Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �� v �'� Date: i
Constructio thorization Expiration Date: '� 1� )ff
HTE # 1 ",,—S -30' Permit # �-'O 4a0
f1carnett County Department of Miblic Health
Site Sketch
ISSUED TO:
PROPERTY LOCATON:
SUBDIVISION
Y"D
LOT
Authorized State Agent:
Nz'�s� -
Date:
—
—
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:
r, .
Address: Date Evaluated: s 7 13
Proposed Facility: ,y a "6 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: (..Public❑ Individual ❑ Well
Evaluation Method Augei Boring ❑ Pit ❑ Cut
Type of Wastewater: -JS�- 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
l
(IN.)
jDth 3
.1956
Sapro
C lass
.1944
Restr
Horiz
s
kD
ri IN
tv\
Z.
G
S Sgt SC 1-
�7n
5L
45)f4�
Iss x S'-,
$ s)NV
Description
Initial
S st
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Y,5- f
.
Site LTAR
`�5