IPACHTE #I -> -5j }a Harnett County Department of Public Health
Imarovement Permit 27508
A building permit cannot be issued with only an Improvemenj Permit
PROPERTY LOCATION: Unc�s T-D
ISSUED TO: V - cX__c -Q \AClch SUBDIVISION C)NY_r N'3 LOT #
NEWT REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: PU P-P TO lz) SV/0
Projected Daily Flow: ��3® GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
Pump Required:�Ezes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well )L ®® feet Permit valid for: X Five years
Permit con tuons:��� ❑ No expiration
Authorized State Agent:: Date: (L `S- 0 1 3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit holder is esponsible 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 Improvemen mit 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: C � - , �c� c��c, �- C� PROPERTY LOCATION: 'R)
f SUBDIVISION OPIN< Nt o %'T; LOT # ZL3
Facility Type: 5� C nss� XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'No
Type of Wastewater System ** PU � "N o Q-S O/b �CZ-'D v c,; s 0 W (Initial) Wastewater Flow: C-i`Z d GPD
(See note below, if applicable ❑)
RuM,g -7o �/o vC,—,1� ov (Repair)
Installation Requirements /Conditions Number of trenches Q.,
Septic Tank Size t e9 ® Cg gallons Exact length of each trench -7S� feet Trench Spacing: Feet on Center
Pump Tank Size t ® ® O gallons Trenches shall be installed on contour at a Soil Cover: G ° 1 inches
Maximum Trench Depth of: 12 -aq inches (Maximum soil cover shall not exceed
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 is sub'ef ct 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 is§ect to compliaa�t with ti sof t ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction uthorization Expiration Date:
HTE# 12>-5-3)3):]
ISSUED TO:
Permit OAR
Harnett County Department of lNiblic Health
Site sl�etcll
PROPERTY LOCATON: 0 b c s Q—l�
SUBDIVISION QKKT -,O-t LOT #
Authorized State Agent:
M
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: C �) 3
Proposed Facility: 4ZC,�Z� Design Flow(. 1949:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual El Well
Evaluation Metho Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
Mineralogyyp
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
S
Q�y
G
ob
Description
Initial
S stem
Re air System
Other Factors (.1946):
Site Classification (.1948): /f
Evaluated By:_011C
Others Present: �-
Available Space(. 1945)
System Type(s)
V
Site LTAR