IPACHTE# t ���a1-1 ®1 Harnett County Department of Public Health
Improvement Permit 27698
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: R.o
�
ISSUED T0: r4 ')r ""5—, 2V G: r 4 sir SUBDIVISION C) A"S`°� o �t� LOT # N5 6
NEVy K REPAIR ❑ EX ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S Q L UU
Proposed Wastewater System Type: Pvv~,p�`o �S �' eZol Cr, Q -N
Projected Daily Flow: y°�D GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes No
Pump Required:-!P!fks ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water S I . F-1 Community -K Public El Well Distance from well 10 feet Permit valid for: Five years
Permit conditions: : :— ❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the- a her permits. The permit hold r is res onsible 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 Imp men ermit 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 he met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: \A 0 N PROPERTY LOCATION: Docs
�� 3`1 SUBDIVISION � �x 0 � LOT # t 5
Facility Type: ' %11 New ❑ Expansion ❑ Repair
Basement? ❑ Yes �No Basement Fixtures? ❑ Yeses No
Type of Wastewater System ** u Cn n V C:� f ST s4 (Initial) Wastewater Flow: �►"� CJ GPD
(See note below, if applicable ❑)
PV rr,� � c �U�c, Rc Z—Mv C�; +o %J (Repair)
Installation Requirements /Conditions Number of trenches 91
Septic Tank Size l In ®0 gallons Exact length of each trench —1 S feet Trench Spacing: �1 Feet on Center
Pump Tank Size lCV® cn gallons Trenches shall be installed on contour at a Soil (over: 1)L- 1` inches
Maximum Trench Depth of: aL-1 --3 b 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
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.
* *If applicable: / understand the system type specified is different from the type specified ofl the app /icat /on. / accept the spedfIcations of this permit
Owner /Legal Re Sj nature: Date:
This Construction Authorization is subject to revo ' if the sit Ian, 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 subigll p-mplianc t �---oflkLaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: S1 1 l71)
Authorization Expiration Date: 1 N I l�i I 1y
HTE# 5 ) — Permit # —Z�D CeN .
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 00 q--q
ISSUED TO: \A -14� Co cbj Q:, , Q SUBDIVISION C7k-,-y---1t r4-1 LOT #
Authorized State Agent: Qb �L)v Ga —' �21–y-�:509 Date:
1
A
I lb � /
cl-1a ':( �) I L-z- oa N C
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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:
Proposed Facility: )..,y �pQ M Design Flow(. 1949): y -dG a{
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual El Well
Evaluation Metho u r Bo ing El Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I .1940
L Landscape
E Position/
# Slope %
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
D
Y
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):
Available Space(. 1945) Evaluated By: (27\—
System Type(s) n2 a.5 + Others Present:
Site LTAR