IPACHTE# /3 sJJQV Harnett County Department of Public Health
hDrovement Permit 27469
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: AI/ C -- -b/-.
ISSUED TO: k1r SUBDIVISION LOT # /C6
NEW ✓❑" REPAIR ❑ f EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'F S" X z i
Proposed Wastewater System Type: i�y�p -t Q sUQs- :t3A %4f-
Projected Daily Flow: C9 O Cl GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes [?"-No
Pump Required: N es ❑ No ❑ MMax be required based on final location and elevations of facilities
Type of Water Supply: El Community L� Public ❑ Well Distance from well feet Permit valid for: 21IF-1ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: `2,, r . /� %w� �C�/ f Date: S`��5��2 ot? SEE ATTACHED SITE SKETCH
The issuance of this permit by t e Heart m no way guarantees the issuance of other permits. The permit holder is responsible 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: Saj—&• PROPERTY LOCATION:
SUBDIVISION S,Xf LOT # /6e
Facility Type: ���� 2"'New ❑ Expansion ❑ Repair T
Basement? ❑ Yes Q'-No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** o� S`�) .x .�t�¢,•. (Initial) Wastewater Flow: iQw GPD
(See note below, if applicable Pr
o25' (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size 1050 gallons Exact length of each trench 8(3 feet Trench Spacing: 9 Feet on Center
Pump Tank Size / OQ 0 gallons Trenches shall be installed on contour at a Soil Cover: /8- 6 inches
Maximum Trench Depth of: 3Q-/8 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: 5�--� 1 ��, ok + r�-� }. 18" 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 sr stem type pecified is different from the type specified on the app lication. / accept the specifcationf of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dian. Dlat or the intended use chances. The Construction Authorization shall not he transferred when there is a chance in nwnerchin of the site This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for
Authorized State
ram /C/c
Treatment and Disposal and to the conditions of this permit
Date:
Construction Authorization Expiration Date:
2C /-7
SEE ATTACHED SITE SKETCH
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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:
Address: Date Evaluated:.) -4.e 2-1117
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: []Public[] Individual ❑ Well
Evaluation Method: Auger Bo i g ❑Pit ❑Cut
Type of Wastewater: a 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
ev
G-7c)
�Lfn�l�✓O
f - G
WV-'VVwP
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): S
Evaluated By: /Q
Others Present:
Available Space (.1945)
✓
System Type(s)
DT v
j`
Site LTAR
.8
ev