IPACHTE# S 3- 5 -_319 Harnett County Department of Public Health
Improvement Permit 27535
A building permit cannot be issued with only an Improvement PerM
t PROPERTY LOCATION: -rst�) 1`f�
ISSUED TO: SUBDIVISION L,-V> t..,L G-, 1 GO— ES LOT #
NEWN REPAIR ❑ p r EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ ® C3� "�0)
Proposed Wastewater System Type: °�d�� d ,�
Projected Daily Flow: t f` d GPD
Number of bedrooms: 1.1 Number of Occupants: `9 max
Basement ❑Yes _No
Pump Required: ❑Yes,No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community _1R,,, Public ❑ Well Distance from well 1 t0 feet Permit valid for: )6ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ti 'sstt, a of other permits. The permit holder is response le 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 Impr ent 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
Reauired for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: Q,`f PROPERTY LOCATION:
C') SUBDIVISION L.-.rr L� 2�vs-� D, LOT # �3
Facility Type: SCC� �� " �aO� A New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'No
Type of Wastewater System ** 2 5 ®'t!o p\J c;';i ,13 N S iS '� C. n (Initial) Wastewater Flow: Lll $ d GPD
(See note below, if applicable ❑)
% Q.,t ,p v CA i 0,N (Repair)
Installation Requirements /Conditions Number of trenches LA
Septic Tank Size gallons Exact length of each trench 104
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: `%
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
feet Trench Spacing: 9 Feet on Center
Soil Cover: C inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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: 1 understand the system type specified is different from the type speciled 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 changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is s compliance' the`plli ' NkYNe Lkwkand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: `I -ZtJ 1` _
Construe ' uthorization Expiration Date:
HTE#
ISSUED TO:
Authorized State Agent:
Permit #
Marnett County Deplu-tineiA of Pub] is Health
Site shetch
PROPERTY LOCATON: 2)a c OW R!)/
SUBDIVISION I— � -T- LOT
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L.,.*, Design Flow (.1949): �`d �' Property Size:
Location of Site: Property Recorded:
Water Supply: kblic❑ Indi idual ❑ Well ❑ Spring
Evaluation Method:❑ Au eg r Boring DK Pit ❑ Cut
Type of Wastewater: ewage ❑ ndustrial Process ❑ Mixed
❑ Other
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
�Q) /0
CIC
C-
7L
Description
Initial
S st
Repair System
Other Factors (.1946):
Site Classification (.1948): PS
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
VV
Site LTAR
ti