IPACHTE# Harnett County Department of Public Health
Improvement Permit 27379
A building permit cannot be issued with only an Improvement Pe it
PROPERTY LOCATION %c/—q/ lS C zi /06
ISSUED TO: SUBDIVISION i LOT # _
NEW 2" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5 e
Proposed Wastewater System Type: 05 r%n ;E6b UC -3Z.5-3
Projected Daily Flow:
3&0 GPD
Number of bedrooms: Number of Occupants: ax
Basement [--]Yes No ,�'
Pump Required: ❑Yes ❑ No 2 Maoe required based on final location and elevations of facilities ��
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Permit valid for: E?r Five years
Permit conditions: ❑ No expiration
Authorized State ! Date: V — 14e'-- Z SEE ATTACHED SITE SKETCH
The issuance of this permit b e Health 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 TO: PROPERTY LOCATION:, = '
�.
SUBDIVISION i LOT #
facility Type: Lam' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Ye lo
Type of Wastewater System ** 5,10Z ice) S (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
2 Y -4 -Z-" - _5 /0 --- (Repair)
Installation Requirements/Conditions Number of trenches / c
Septic Tank Size ,006 gallons Exact length of each trench 96, feet Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 46 riches
Maximum Trench Depth of: ZQ 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
Aggregate Depth:
Conditions:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
2 inches above pipe
inches total
* *If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications ofthis permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownership 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 Age �� t2- )- Date: " t& '•-13
Construction Authorization Expiration Date: y y-a --
HTE# /3 — — -3/027
Permit #
f
Harnett County I)epartinent of Public Hetalth
Site hetch
PROPERTY LOCATON6 IW9 J*Z Q' = IeJ�
ISSUED TO: z c SUBDIVISION 5 F& T5 LOT#
Authorized State Ag6L��,� Date: (3
11
M-
13
L
35�
P,
11
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/140
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1
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: 64n_ 4�
Address: Date Evaluated:
Proposed Facility: 545' Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ®`Public❑ Individual ❑ Well
Evaluation Method: ❑ 1C ger Boring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ 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
(hi.)
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
l�—Lie)
fG= C r
S L
AL &thrry
3Z 3((
56 -�1-.
I 013
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System T e(s)
" &
Z
Site LTAR