IPACHTE# 1J—S° 31 i) 5 Harnett County Department of Public Health
Improvement Permit 27445
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: VIZ
ISSUED TO: V--®a-c;� C�VkV -\J LZTZ, Mfg4 SUBDIVISION LOT # 1
NEW` REPAIR ❑ EXPANSION ❑
Type of Structure: 5 1;�70 Q"td K-)—O
Proposed Wastewater System Type: a �' /o R -- DQc;�tcaN S— "TVZ"V"
Projected Daily Flow: �)�® GPD
Number of bedrooms: Number of Occupants: max
Basement [--]Yes 'VNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �E<No ❑ May be required based on final location and elevations of facilities
Type of Water Sup I : ❑Community , Public ❑ Well Distance from well t (TZ) feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent:: �v�� \�� Q•�l j Date: 51 i 113 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaran es�p iss ee of other permits. The permit holder is fesponsible 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..
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: X0266 Sc� 6U su,",4"Q PROPERTY LOCATION: P.U
r SUBDIVISION — LOT #
Facility Type: S lg�`xi� i New ❑ Expansion ❑ Repair
Basement? ❑ Yes � No Basement Fixtures? ❑ YesNo
Type of Wastewater System" c .� °I® Kt b jg�lc) -Q S'`1 s A G--n (Initial) Wastewater Flow: GPD
(See note below, if applicablex)
°/g �— UGI 10 tJ ��'�"s�� (Renoir)
Installation Requirements /Conditions
Septic Tank Size @ 00 O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches
Exact length of each trench �--® feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. '��-1 inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: V3 " inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type specified is different from the type specified on the app lication, / accept the .specifications of this permit
Owner /Legal Representative Signature: Date:
This Construction Authorization iswbie "n revocation if the site Dian. DIaL or the intended use changes. The Construction Authorization shall not be transferred when there is a change in nwnershin of tho cite This
Construction Authorization is s ct
' to compha�ce wi ro " ns 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: '5) l3
Nkluction Authorization Expiration Date: S 1
HTE# ) ) ) —5 Permit # &-I � LL5
Harnett County Department ol'Public Health
Site hetch
PROPERTY LOCATON: ?-.,VCA4Pt4AN Q.V
ISSUED TO: Gg—o —
�'� cy>.Q- v cslMF�N SUBDIVISION LOT #
Authorized State Agent 101)-q Cf -To L Date:
Mll
150,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: S )'� �3
Proposed Facility: -6 Design Flow (.1949): 3 -6a ,s�
Location of Site: Property Recorded:
Water Supply: ts blic [I Individual ❑ Well
Evaluation Method: uger Boring ❑ Pit C1 Type of Wastewater: ewag e ❑ Industrial Process ❑
aheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
dt LTAR
.1941
Structure/
Te)dm
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1936
Sapro
Class
.1944
Restr
Hofiz
5
44-0, NA we
�G L\)�
SSIZ 5cZ
�a`1r1 sS��Q
i�f2�
3c�
G 5 L
Vin >us N
s ..G
3`
Cr 34
G s
VR-L
Description
Initial
s s<-
Rep # Rep ' System
Other Factors (.1946):
Site Classification(. 1948): 1'—'(
Evaluated By: �
Others Present: f� M
Available Space (
s stem s
)d
Q W
Site LTAR