IPACHTE# m 3-- 5--316 �-3 Harnett County Department of Public Health
Imarovement Permit 27552
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Zee 81
ISSUED TO: 0 4Z7 po ' SUBDIVISION ,~Z F A- LOT #
NEW ER' REPAIR ❑ 1XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 F
Proposed Wastewater System Ty e: 916
Projected Daily Flow: ° GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No �/
Pump Required: ❑Yes No L,ef'Ma required based on final location and elevations of facilities
Type of Water Supply:
El Public ❑ Well Distance from well feet Permit valid for: ive years
Permit conditions: ❑ No expiration
Authorized State Age : �' V Date: ° 7—I0 —13 SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department in 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 t 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: Robb r—r, Do rLe PROPERTY LOCATION: fir. U 0
SUBDIVISION i LOT #
Facility Type: 2 New ❑/ Expansion F-1 Repair
Basement? I--] Yes No Basement Fixtures? El Yes C�'� No
Type of Wastewater System * * %tom r . 6 y s Win— (Initial) Wastewater Flow: O GPD
(See note below, if applicable ❑)
2- 5":/�/) i (Repair)
Installation Requirements /Conditions Number of trenches t I - -:Z
Septic Tank Sized gallons Exact length of each trench (�`� feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 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
Aggregate Depth:
Conditions:
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
2 inches above pipe
/ e2� inches total
* *If applicable: / understand the system type speciled is different from the type speciled on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan. Dlat. or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag t: Date:
Construction Authorization Expiration Date: �:J ; 0-- i Or
HTE# 13- 57- 31Cq3 Permit # —1 "35 2
Marnett County Department of P-ablic Health
Site Sketelt
12
M
-sg
I
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL /SITE EVALUATION Code:
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant: P
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): q9,6 Property Size:
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑''Sewage ❑ Industrial Process ❑ 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
1,2,3
L.-
Q'
.L
&It
°
5L.
Description
Initial
System,-*,
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System T e(s)
Site LTAR