IPACHTE# I i�75-3 arnett County Department of Public Health
Improvement Permit 27522
A building permit cannot be issued with only an Improvement Permit
Ea PROPERTY LOCATION:
ISSUED T0: C-��-- IAA) ic-5 LL C— SUBDIVISION Q 9- LOT #
NEWX REPAIR ❑ E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S �r�1'nS �f
Proposed Wastewater System Type: QL)fl 4 7 a
Projected Daily Flow: GPD
Number of bedrooms: S Number of Occupants: 10 max
Basement []Yes ><No
Pump Requiredes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ti®® feet Permit valid for: `Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: : n - 1i5 Date: _'1 1 '5 ,13 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of o 4a�ermits. 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 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: L E o mCr---) L...LC- PROPERTY LOCATION: 124
SUBDIVISION LOT # 'I)-LI
Facility Type: =='�Q c1 �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes I No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** UP ®,�»� d (Initial) Wastewater Flow: (o®® GPD
(See note below, if applicable ❑)
U rce cQ 'G (Repair)
Installation Requirements /(onditions Number of trenches i
Septic Tank Size t -'�Ls b gallons Exact length of each trench `a-u 0 feet Trench Spacing: �► Feet on Center
Pump Tank Size ` Z)-SD gallons Trenches shall be installed on contour at a Soil Cover: 1'.)-: D.'4 inches
Maximum Trench Depth of: amts 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: l understand the system type speciled is different from the type speciled on the application. l accept the specilcations of this permit
. permit.
Represen ature: Date:
This Construction Authorization is subject to revocati—on-If4he4ite plziijplat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorizationa�` to complian th t "oq, s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: -I i3
Construction horization Expiration Date:
HTE#
Permit # ZI'Z -4D-
Harnett County Department of F�tblic He(alth
Site Sketch
ISSUED TO: r (,
0 emus L-L—r—
PROPERTY LOCATON:
SUBDIVISION
LOT
Authorized State Agent:
HS
Date:
U Pacvi
4
Muse
Ld
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 3� \3
Proposed Facility: 6C)jZch� Design Flow (1949):600
Location of Site: Property Recorded:
Water Supply: 11.Public❑ Individual ❑ Well
Evaluation Methodya Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Talsewage ❑ 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
LS
Ti
Description
Initial
S st m
Repair System
Other Factors (.1946):
Site Classification (.1948):5
Evaluated By: D
Others Present:
Available Space (.1945)
714
System e(s)
vr^P
ir_ 2- %sa
Site LTAR
C
1 x r
aSo cz� Q � — N'