IPACHTE# k3_ -3) -00S1 Harnett County Department of Public Health
Improvement Permit 27434
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: LOO s�
ISSUED TO: 'S L- 1�O-p E SUBDIVISION LOT #
NEW, REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: cJ'�fl (
Proposed Wastewater System Type: aS °/o �'— C°aDVG-5�aca
Projected Daily Flow: '3�® GPD
Number of bedrooms: -3 Number of Occupants: max
Basement []Yes '5� No
Pump Required: ❑Yes �'KNo ,May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )K Public ❑ Well Distance from well �C)0 feet
Permit conditions:
Permit valid for: Five years
❑ No expiration
Authorized State Agent:: ���`' Date: ' -).2 X13 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ti - ce of other permits. The permit holder is resp nsible 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: J SZ F QJ&J �° q°''G PROPERTY LOCATION: )---a 0,? IQ o
SUBDIVISION --- LOT #
Facility Type: �, "��� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System ** -a 'o
(See note below, if applicable ❑)
ULC6iAS1-
i9L2OW x 016 (2s;)Ur--)onr (Repair)
Installation Requirements /Conditions
Number of trenches 3
Septic Tank Size 1 (no d gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: N`b inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
(Initial) Wastewater Flow: 3b6 GPD
Trench Spacing: Feet on Center
Soil Cover: 4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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: / understand the system type specified is different from the type speciped on the app lication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization-is—utNect to 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 subject to comp i _ ith.(4�.aro �ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: �� v� r \5 Date:
truction Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE # \3- S -- 3 ) Q) Q)cA'
Permit #
Marnett County I)epartinent of Public He(,tltli
Site sketch
ISSUED TO: zs---7
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k,
PROPERTY LOMON:
SUBDIVISION
LOT #
Authorized State Agent:
&L
Date:
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: C32 "`, Design Flow (.1949): 310
Location of Site: Property Recorded:
Water Supply: Public❑ Individual El well
Evaluation Methoor�uger Bo ing ❑ Pit ❑ Cut
Type of Wastewater: nSewage ❑ 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
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YVTL "5) Vi
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51a'c C.
psi S iSF'
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Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Ui,\5 LS7 c
Site LTAR
-3.
�3
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