IPACH T E Harnett County Department of Public Health
Imurovement Permit 27274
A building permit cannot be issued with only an Improvement Permit �n
PROPERTY LOCATION: SanbY -s 1 �S>'rr(;UM
ISSUED TO: G EdC"r: SUBDIVISION LOT # S
NEWX REPAIR ❑ E P,ALNSION ❑ 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M0"4 m( l'a n6QrJ
Proposed Wastewater System Type: °/G Rs^,.ougS Uav
Projected Daily Flow: 4 6 GPD
Number of bedrooms: Ll Number of Occupants: max
Basement ❑YesNo
Pump Required: ❑Yes No El be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -X Public ❑ Well Distance from well � �bCJ� feet Permit valid for: Five years
Permit conditions:- -- _ ❑ No expiration
Authorized State Agent.:
The issuance of this permit by the Health Department in no way guarantees the e
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..
7 Date: a z) i SEE ATTACHED SITE SKETCH
of other permits. The permit holdef is res onsible for checking with appropriate governing bodies in meeting their requirements. This
rnt Permit 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: � � � A�NES PROPERTY LOCATION: �n p orym 90
h� SUBDIVISION LOT #-5
Facility Type: P-1 r4 �c�C. \aI; -AG) A New ❑ Expansion ❑ Repair
Basement? ❑ Yes � No Basement Fixtures? ❑ Yes � No
Type of Wastewater System* aS% 9EUVV�\ 0 "1 �5y5f�ct0s (Initial) Wastewater Flow: I}'8C) GPD
(See note below, if applicable ❑)
�1S�lb RE.ouc7�ti a (Repair)
Installation Requirements /Conditions Number of trenches 1
Septic Tank Size VQC ®q gallons Exact length of each trench aO6 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: 4- ' b,�, 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 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 dif /erent from the type specified on the application. / accept the speciflcations of this permit.
Owner /Legal Representative Signature: Date:
This Cnnstrurtion Authoriratinn is suhiert to revnrntinn if the site nlan_ plat_ nr the intended use rhanum The Conttrurtion Authorizatinn shall not he transferred when there is a rhanve in nwnershin of the site This
Construction Authorization is sub' ct o co h the rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
o Authorization Expiration Date: 21
HTE# t3- 5 "306a''� Permit #
ISSUED T0:
Harnett Connty Department of Miblic Health
Authorized State Agent 5�bt -�yEs2 ' dL-`'� Date:��3
N
e
I
1 A �
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: [A Design Flow (.1949):
Location of Site'. Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: _❑ Auger Boring ❑ Pit ❑
Type of Wastewater: "'[j , Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size.
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
.1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
.1942
E
Position/
Depth
.1941
.1941
Soil
.1943
.1936
.1944
Profile
#
Slope
(In.)
suuctuw
Consistence
Wetness/
Soil
Sopro
Re*
Class
Texture
Mineralogy
Color
IN.
Class
Horiz
& LTAR
Description Ionia! Rep ' System Other Factors (.1946):
S Site Classification (.1948re
Available Space .1943 Evaluated By:cs
s stem ° I-s ! _ Others Present: