IPACHTE# 1�_� 31�?") Harnett County Department of Public Health
Improvement Permit 27 507
A building permit cannot be issued with only an rovement Permit
PROPERTY LOCATION: Im _ 11,.E V-j
ISSUED TO: Y) O MES SUBDIVISION Q_e1U 1-.) j 4\ Ci LOT # —
NEW'X REPAIR ❑ -WANSION El Site Improvements required prior to Construction Authorization Issuance:
�
Type of Structure: S �.3� �'�t 1 �
Proposed Wastewater System Type: 3.50/o ouCrS,dsa "GIs n
Projected Daily Flow: 36® GPD
Number of bedrooms: _]5 Number of Occupants: JG max
Basement ❑Yes No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community .< Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 5 C/ I I " SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iance o er permits. The permit holder 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 Improvement it 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 T0: PROPERTY LOCATION:
\�tv.1 " GAS
SUBDIVISION
O LOT # —�
(
Facility Type: SKD 13i1�'�'A
AIN ew ❑ Expansion ❑
Repair
Basement? ❑ Yes ', No Basement
Fixtures? ❑ Yes _XNo
Type of Wastewater System ** 'zLs"lo
�)\ cz)vC; N
(Initial) Wastewater Flow: 3C0 GPD
(See note below, if applicable ❑)
SL's /y
ON (Repair)
Installation Requirements /Conditions
Number of trenches 1
Septic Tank Size 1 b ® c—> gallons
Exact length of each trench l- 0
feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil (over: %";5 j� inches
Maximum Trench Depth of: 30 "L) '6
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 10FT. 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 specified on the application. / accept the specifications of this permit.
Owner /Legal Representative Si Date:
This Construction Authorization is subject to revocation if t e ' an, plat a intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subie" cNpRiiance with th ovisio t les for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �� Date: 51SO10
Construction rization Expiration Date:
HTE# 1-2z,---S- Permit # Sol
M
OrLA)N NCIS
Cn,,-.s F-rC-N -I
C-PJLOL�Np� opor-3 C-\QX-d-
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: K
Address: Date Evaluated:
Proposed Facility: : Design Flow (.1949):X
Location of Site: , Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Aug r Boring ❑ Pit ❑ Cut
Type of Wastewater: MSewage ❑ 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
D th (IN.)
-
.1956
Sapro
Class
.1944
Restr
Horiz
S
d -6,
6S
Vh-
P5
a�
G 5
Description
Initial
system"
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated Bycr�
Others Present:
Available Space (.1945)
System T e(s)
1S i4
Site LTAR
S
S