IPACHTE #X3--5- °�10--® Harnett County Department of Public Health
Improvement Permit 27431
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S-i
ISSUED TO: V.fL)5-'C I --iSaG.Q-- SUBDIVISION ;� -Ss -G`e— t 5 LOT # -TW-
NEW>< REPAIR ❑ ExP.A,NSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5 3.L Qo
Proposed Wastewater System Type: aS °/o
Projected Daily Flow: 3�G GPD
Number of bedrooms: 3 Number of Occupants: C�;, max
Basement [--]Yes .5, No
Pump Required: ❑Yes �K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '5� Public ❑ Well Distance from well I bU feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \ � ``s � Date: --)t 1 3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu ce of other permits. The permit holder is res onsible 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 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..
The construction and installation requirements of Rules .1950, .1952, .1954,
with the attached system layout.
ISSUED TO: �-cz,s-5') 5'- %06�2
Facility Type:
Construction Authorization
(Required for Building Permit)
1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
PROPERTY LOCATION: �) ,.,y'1%
SUBDIVISION C--)f 94- 5-5 LOT # TV-9
New ❑ Expansion ❑ Repair
Basement? ❑ Yes "5� No
Basement Fixtures? ❑ Yes )S�No
Type of Wastewater System **
a 5v /b
RCo vu� o ��� *"
(Initial) Wastewater Flow: U GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions
Number of trenches 3
Septic Tank Size N n CDC)
gallons
Exact length of each trench 100 feet
Trench Spacing: ci Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil (over: inches
Maximum Trench Depth of: N 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
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
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: l understand the system type specifled is different from the type speciped on the application. l accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject 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 su 1e fiance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: N�' � � � Date: I at'
Construction Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# 13— 5 — —5)CQ -0 Permit # Q�43 )
ffifti-nett Co-anty Department of Public Health
Site Sketch
PROPERTY LOCATON: �vrlS
ISSUED TO: �2 S� Q SUBDIVISION C.yeczGss 'k,,0 LOT # `TT
�l5 �O L1� GCL- �oL'�51x'112� Date: Li a 3
Authorized State Agent: � �
5
i
\ 1
1 c) 41
9
I
c2 C--5
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: Design Flow(. 1949): 3 ` G J�
Location of Site: Property Recorded: J
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: uger Boring El 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/
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IM)
.1956
Sapro
Class
.1944
Restr
Horiz
/'Texture
l:
,.14�
56K C__
�iz 55
s 3
3
-s�
s
vim- tis��4
Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1948):f r
Evaluated By: C�
Others Present: (3
Available Space (.1945)
System T e(s)
1 ill
Site LTAR
3