IPACHTE# S 21- 5- �fo-i 6a— Harnett County Department of Public Health
Improvement Permit 27427
A building permit cannot be issued with only an Improvement Permit
\ , ® PROPERTY LOCATION:
ISSUED TO: W y 2 Tt O SUBDIVISION LOT # lSO
NEWX REPA ❑� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
�3
Type of Structure: -S,J
Proposed Wastewater System Type: (,Un- O "lr0V —e l \0�
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: C� max
Basement ❑Yes �No
Pump Required:-Kes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ,Public ❑ Well Distance from well feet Permit valid for: XFive years
Permit conditions: F= _ ❑ No expiration
Authorized State Agent:: Date: c;. SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department i no way guarantees the issuan other permits. The permit hold r is re ponsible 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 Improvem t 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: \I spN-g c \A a MrGt5 PROPERTY LOCATION: �i CX1 ^\,
�1FD(401A3 SUBDIVISION i NGG.ty �csiN LOT # L3d
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes >�-No Basement Fixtures? ❑ Yes �<Nci
Type of Wastewater System ** pv c,+4 T o -).,,S°Zo (Initial) Wastewater Flow: —:S CO GPD
(See note below, if applicable ❑)
V-J
Installation Requirements /Conditions
Septic Tank Size 1 000 gallons
Pump Tank Size 1-0c0 gallons
Pump Requirements: ft. TDH vs.
itions:
e -2..'-�;70 - vim; N QA (Repair)
Number of trenches I
Exact length of each trench --', 00
Trenches shall be installed on contour at a
Maximum Trench Depth of.
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
-SEC- &; E sx
_ feet Trench Spacing: �1 Feet on Center
Soil Cover: G inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
�- Aggregate Depth: inches above pipe
GN4 fi OZ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: l understand the system type specified yf different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Represents ' e Sjgnature: Date:
This Construction Authorization is subject to tion Nke 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 subkci��complia ith 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:
o ction Authorization Expiration Date:
HTIE# Permit #
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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: t
Address: Date Evaluated: `J /A
Proposed Facility: 5 Q� `� Design Flow (.1949): 461)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method�.,,Au r 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
e
0
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Description
Initial
S ysteV
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:Cja(
Others Present:
Available Space(. 1945)
System T e(s)
Ur-<J
c CZ (y
Site LTAR
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s