IPACHTE# NS ^5 Harnett County Department of Public Health
hDrovement Permit 27513
A building permit cannot be issued with only an rovement Permit
PROPERTY LOCATION: 1 I rC,
ISSUED TO: T—sa- cc— Lv &F�S SUBDIVISION PP"- 7 ca sv S Pot LOT #
NEW'I< REPAIR EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '
Proposed Wastewater System Type: U m 2J o )Z4, -D "C 100
Projected Daily Flow: `� b O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required.es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public 1:1 Well Distance from well 1 d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: � � ���` \\ ;�� Date. C 13 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o gT permits. The permit holder j respo Bible for checking with appropriate governing holies 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 affecte (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: a,s PGG L_vGi>�-t) PROPERTY LOCATION: 1 6.tJ
SUBDIVISION Rt,—T� oNz s i' o> N LOT #
Facility Type: `�3�'�S`�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes Z9, No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** v xn 70 0 2—S °ta C~.D v G51® >u P (Initial) Wastewater Flow: '3 1�C) GPD
(See note below, if applicable ❑) _
V u cnF ° � °�a NEZtt CK\ � sJ (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 1 00 ® gallons Exact length of each trench i50 feet
Pump Tank Size 10 0 2 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: al-i inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
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 application. / accept the specifications of this permit.
Owner /Legal Represe a Signature: Date:
This Construction Authorization is subject to ri n 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 of
subject �Ktsgliance he the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: c--
Cons n Authorization Expiration Date: _
HTE# k�— Permit # Q l 5 ) 3
H(arnett County Department of I'Vblic Hetdtll
Site S-ketch
0
&l:sc--VVxO-Oc-_2 C-A
I
I
I
11
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: (� 1 b) N3
Proposed Facility: !> (Z Ca1'h Design Flow (.1949): 34 6 5
Location of Site: Property Recorded:
Water Supply: Public❑ Individual El Well
Evaluation Method A �er ^Bo ing ❑Pit ❑ Cut
Type of Wastewater: �'S; J 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
LS
.5
s
Description
Initial
S ste
Re air System
Other Factors (.1946):
Site Classification (1948):f_5
Evaluated By: _\
Others Present:
Available Space (.1945)
System Type(s)
V ^r`
V
Site LTAR
1x -\V0''