IPACHTE# 3 - -, 34 - ) Harnett County Department of Public Health
hDrovement Permit 27358
A building permit cannot be issued with only an Improvement Permit
i j PROPERTY LOCATION:
ISSUED T SUBDIVISION <� LOT # 4
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: :5i
Proposed Wastewater System Type: 2- % [i ZRi*,'�)i; t.C-2,t L.
Projected Daily Flow: 3. Tt GPD
Number of bedrooms: — Number f Occupants: max
Basement ❑Yes
Pump Required: ❑Yes ❑ No IZI May be required b d on final location and elevations of facilities
P q Y q �,r'
Type of Water Supply: ❑ Community ❑ Public Well Distance from well 160 feet Permit valid for: '"Five years
Permit conditions: ❑ No expiration
Authorized State Age .. •rs ---- <� — Date: 1.:5 SEE ATTACHED SITE SKETCH
The issuance of this permit by thg alth Department 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.
ISSUED T0: bJ
P—A A ? -s PROPERTY LOCATION: Yj /ZZ
SUBDIVISION _ Z� LOT #
Facility Type: 15 /New �'N Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ,-o
Type of Wastewater System ** �1 ,�' &f-2c. Z , �Si1 50 (Initial) Wastewater Flow: 366 T GPD
(See note below, if applicable ❑) /
k7t§ epair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench lyc� feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 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: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
_ inches below pipe
inches above pipe
/ inches total
* *If applicable: l understand the system type speciTed is different from the type specified on the application. l 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 chanties. The Construction Authorization shall not be transferred when there is a change in ownershin of the site_ This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag t: Date:j��" { `i
Construction Authorization Expiration Date: —/G?
HTE Permit # -7 3 5-7
f1gal -nett County -Depltrtll le lit of Public Health
Site Sketch
PROPERTY LO(ATON: c56,L c'S"� vz�
ISSUED TO: 1�)a5Q tllA SUBDIVISION LOT #
Authorized State Agvt. Date:
illl�/
M
g ZT-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
v,--a-
Owner: Applicant: r-- 4-*'�—°�
Address: Date Evaluated:3 43
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
5L
GI 41
3b snip
36"
31 -3
3 -36-'*
Description
Initial
System-_.
Repair System
Other Factors (.1946):
Site Classification (.1948): r
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR