IPACHTE# 14— - -33-�Q(0 Harnett County Department of Public Health 27938
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C51=1 C--4 ,y
ISSUED 10. T4 'y rt of Co �a %Xi GX \ Z t1 SUBDIVISION f- LOT # S
NEW,N REPAIR ❑ EVER SION [I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ��
Proposed Wastewater System Type: D-S% Q.6o v crN t o �►
Projected Daily Flow: L4 GPD
Number of bedrooms: q Number of Occupants: max
Basement ❑Yes >K No
Pump Required: ❑Yes El No '*X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ><, Public ❑ Well Distance from well X00 feet Permit valid for: Five years
Permit conditions: ---_ __ d ❑ No expiration
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: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subjec tion if t 'te 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 o complian 'th t on a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
� -15 Date: r- 13
Authorization Expiration Date: e 3 0
Authorized State Agent:: Date: �° 1
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issi c�of other permits. The permit>� is t sponsible 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 Improve ent 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, .1957, .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 T0: �`��c rvv� �2tire.1 e7ty PROPERTY LOCATION: 0
SUBDIVISIOIT -Iix
facility Type: S�9 �� ❑ nG New ❑ Expansion ❑ Repair
LOT # 5
Basement? ❑ Yes No Basement Fixtures? ❑ Yes "I No
Type of Wastewater System ** `� -�7 /c, V cart pyJ cJyS 7C—fn
(Initial) Wastewater Flow: LA0 GPD
(See note below, if applicable ❑)
25S °f o C. y
n v c,-s! s-,) (Repair)
Installation Requirements /Conditions Number of trenches 1
Septic Tank Size 1 O c cd gallons Exact length of each trench a-L4 ® feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on coritour at a
Soil Cover: C— ) ;L-, inches
Maximum Trench Depth of: \Q r 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: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subjec tion if t 'te 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 o complian 'th t on a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
� -15 Date: r- 13
Authorization Expiration Date: e 3 0
HTE# I _ S- 7 (,d
Permit # ZLl "�)-S
Karnett County Department of Public Health
Site Sketch
Q:)
M
Y-G-N VC,>\ y QGQ f� `- V
•
it
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: L3 (3flCL t� Design Flow(. 1949): �Ai c
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho❑,AugerBoring ❑Pit F] 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
1
L5
®`XI
G
Nrr t��?
P
�5S
Description
Initial
S st
Rep it System
Other Factors (.1946):
Site Classification (.1948):30
Evaluated By: C�
Others Present: f
Available Space (.1945)
System T e(s)
a
Site LTAR