IPACHTE# X21-5 "3�73 l Harnett County Department of Public Health
Wrovement Permit 27401
A building permit cannot be issued with only an Improvement Permit
�f��t Y y PROPERTY LOCATION: t�G (.Z
ISSUED T0: Two �S L-E-C- SUBDIVISION t via t3 F'4�2s�.s LOT # G9
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `3'?
Proposed Wastewater System Type:
Projected Daily Flow: ® GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ->� No
Pump Required.'�Kes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "5ZI Public ❑ Well Distance from well 1O O feet Permit valid for ( Five years
Permit conditions: - - ._ ❑ No expiration
Authorized State Agent:: ��.�7! � NL.t:=YZS Date: 311 S-i )3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance permits. The permit holder is r ponsible 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 Pe it 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..
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 speciled if different from the type rpeciled on the application. /accept the rpeciFcationr of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization ' o revocation if the site 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 sub ct to compliant ®w �iov�'Sret\' ks of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: R -f--Y'�s Date: 3
Authorization Expiration Date:
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: ENyvy "a n�-- L_ PROPERTY LOCATION: \n1,
SUBDIVISION �N1...P,")
�P2SnS LOT #
Facility Type:
)< New ❑ Expansion ❑ Repair
_
Basement? ❑ Yes -N No Basement Fixtures? ❑ Yes X No
Type of Wastewater System`* ���h
C =ovcsc tio1.1 Sys , Cm f-% 0 f 1
(Initial) Wastewater Flow: WQ GPD
(See note below, if applicable ❑
(Repair)
Installation Requirements /Conditions
Number of trenches I
Septic Tank Size , b ® O gallons
Exact length of each trench -7 5 feet
Trench Spacing: Feet on tenter
Pump Tank Size > ® 10 G gallons
Trenches shall be installed on contour at a
Soil Cover: G'}')- inches
Maximum Trench Depth of: i`9 '�' 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
Conditions: S v P 2Ly L) N �1 ®
S (n E N� ,['jy 1� X� S- "LE;o
Aggregate Depth: inches above pipe
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 speciled if different from the type rpeciled on the application. /accept the rpeciFcationr of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization ' o revocation if the site 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 sub ct to compliant ®w �iov�'Sret\' ks of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: R -f--Y'�s Date: 3
Authorization Expiration Date:
HTE# lj—S-7505-7-3,1
Permit # a-1 � 0 1
Marnett County Depfarfinent of Public Health
Site Sketch
L U m') N4,A
c:-I
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: 3 ?'3) 0
Proposed Facility: 6 xZKti Design Flow (.1949): La�0c'ir"
Location of Site: Property Recorded:
Water Supply: .Public❑ Individual ❑ Well
Evaluation Method-.:a-Au er Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
0
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
c),
L
vv�1
C.
L}fi
�3x ci
Fti �5t�
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948):f4)
Evaluated By: Op?
Others Present: i)
Available Space (.1945)
System Type(s)
{3 u P '
Site LTAR
S'