IPACHTE# Harnett County Department of Public Health
Improvement Permit 27549
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I-- P15ANS -Z— Q.c>
ISSUED TO: U G Q SUBDIVISION LOT #
NEWA REPAIR ❑ E1INSION 171 Type of Structure: �.4-'I' ll'1 S'�
Proposed Wastewater System Type: W;:*% \imI a t. SYs'sr.r�
Projected Daily Flow: 3r,,C7 GPD
Number of bedrooms:� 3 Number of Occupants: max
Basement []Yes
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water `Community >q Public ❑ Well Distance from well tQQ feet
Permit conditions:
Authorized State Agent::,
The issuance of this permit by the Health Department in no way guarantees the issuance
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Permit valid for:
�x< Five years
❑ No expiration
_ Date: $ 111-10 SEE ATTACHED SITE SKETCH
permits. The permit holde is responsible for checking with appropriate governing bodies in meeting their requirements. This
'ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: G" Sect -1..Es vILpEsz-S PROPERTY LOCATION: 5ESS 2fl
_ SUBDIVISION LOT # W4
Facility Type: S�9 �' 5 n New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes A No
Type of Wastewater System ** Q.S °/o V (:�i-, o N Sy E_a� (Initial) Wastewater Flow: ?40 GPD
(See note below, if applicable ❑)
yv —J'3 d (Repair)
Installation Requirements /Conditions Number of trenches 1
Septic Tank Size td0 cJ- gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 1'810 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: N se inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: feet on Center
Soil Cover: Cam- >d. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
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 app lication. / accept the specifications of this permit.
Owner /Legal Representative, Signature: Date:
This Construction Authorization is subject t e if the sitAp lot 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 t to complianC`e t the s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ���. ��� S3S Date: h C 5
Constructlo thorization Expiration Date: 8 1 1$
HTE# 13-5— Permit # a-15LI
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: AI
Address:
Proposed Facility: —�
Location of Site:
Water Supply:
Evaluation Method: ❑
Type of Wastewater:
Sheet:
Property ID:
Lot #:
File #:
Code:
�licant:
Date Evaluated:
�3 Goa Design Flow (.1949) :'Xoa,_ Property Size:
Property Recorded.
❑ Public❑ Individual ❑ Well ❑ Spring
Auger Boring ❑ Pit ❑ Cut
❑ Sewage ❑ Industrial Process ❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
G
�y o
Dnz, :-'C�
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated B c
Y• �
Others Present:
Available S ace (.1945)
v
System Type(s)
ST
Site LTAR
S
G
x \�Q 0,- \X- Is1FLUaV Q0