IPACHTE# 11-S-3a3- a8 Harnett County Department of Public Health
Improvement Permit 27624
A building permit cannot be issued with only an Improvement Permit
rr '� PROPERTY LOCATION: ID Ceded_
ISSUED TO: 114 A Cen I S r"i SUBDIVISION ff- ,++,✓-r 4, 6� - LOT # ,5 9
NEW lk�' REPAIR ❑ t , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �'F J Q-)y
Proposed Wastewater System Type: cZSS% ke dc s+-c^
Projected Daily Flow: Y8 G GPD
Number of bedrooms: 4/ Number of Occupants: _max
Basement ❑Yes 11'90
Pump Required: ❑Yes 2"'Wo ❑ May be required based on final location and elevations of facilities ,�
Type of Water Supply: El Community 9? Public El Well Distance from well feet Permit valid for: Olive years
Permit conditions: ❑ No expiration
Authorized State Agent:: > S.c.�„� >J� �'�J Date: l e/ U /ao /3 SEE ATTACHED SITE SKETCH
The issuance of this permit by a Health 11epartment 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 the 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. / // p
ISSUED TO: t `� VAS c Ar �"r 1J Ck oh PROPERTY LOCATION: � 6�f 'za
® SUBDIVISION T2-0 4 ,, 44 LOT # 5�- 5'
Facility Type: SF-b New ❑ Expansion ❑ Repair
Basement? ❑ Yes Vk�No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** as 5, Xedu c ' o-,- V'f e M (Initial) Wastewater Flow: qf3 V GPD
(See note below, if applicable IQJ' p `
02�% (Repair)
Installation Requirements /Conditions Number of trenches 4
Septic Tank Size gallons Exact length of each trench 80 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ! -k'l 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: 6-1Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
* *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 to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. this
Construction Authorization is subject to com Iiance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Jtt Al MOW 311t J611:10
Authorized State Agent: coo �'�� Date: /0l ,2.,?/
Construction Authorization Expiration Date: /d
HTE# /.3-sSJaaa �
Permit # o2-7 (- otq
Marnett County Department of ll iblic Hecalth
Site Sketch
PROPERTY LOCATON: �`Jcc.r •�'cI.
ISSUED T0: V��/✓d✓1 �c�f���c �� SUBDIVISION �i-c, -,e�Ile- d s -e- LOT # S —�
Authorized State Agent: Date:
P
A,�
e
J
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: l u lld3
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:0'�Auger Bori ❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
—
.1956
Sapro
Class
.1944
Restr
Horiz
3
s - 7
-`/v
( /4f-
W,,,
)4 ' rllrP
a%
/4r
M
zo t v,
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948)l'f
Evaluated By: —
Others Present:
Available Space (.1945)
/
System Type(s)
Site LTAR
S'
3