IPACHTE Harnett County Department of Public Health
Improvement Permit 27 546
A building permit cannot be issued with only an Improvement Permit
p PROPERTY LOCATION: V Lo i-)2 )
ISSUED TO: �S\ C.oris^s , Q �1 , SUBDIVISION S -NON L.PaS 1<.r�,eLa- LOT # 5
NEW; REPAIR ❑ FNSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S (vii 5 p" 5
Proposed Wastewater System Type: Pv 9S- -3QCr, 10,4
Projected Daily Flow: 3C•® GPD
Number of bedrooms: -°-,
Basement ❑Yes XNo
Pump Required :es ❑ No
Type of Water Su ly: ❑ Community
Permit conditions:
Number of Occupants: max
❑ May be required based on final location and elevations of facilities
Public ❑ Well Distance from well feet Permit valid for.
Five years
❑ No expiration
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: I understand the system type speciTed is different from the type speciped on the app /ication. / accept the specifications of this permit.
Owner /Legal Represe . Si nature: Date:
This Construction Authorization is subject to r n if si 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,,o ompfiance the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
RLr-�s Date: 11 )3
Authorization Expiration Date:
Authorized State Agent:: Date: I )
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce of other permits. The permit hold r is re 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 Im 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
(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 T0: �'� �' ��� PROPERTY LOCATION: C)L-o
4a)
��� n ys� SUBDIVISION S> NYO LP�-S
KNOt_t„ LOT # S
Facility Type: % New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? F-1 Yes �K No
Type of Wastewater System" q)y crp-'Tcj a5 �° vGT t G s3 SY� N &M
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Pvrr)eTa �S °tQ uc,"S1
O (Repair)
Installation Requirements /Conditions Number of trenches t
Septic Tank Size LO O `3 gallons Exact length of each trench i S0 feet
Trench Spacing: Feet on Center
Pump Tank Size 11 0 gallons Trenches shall be installed on contour at a
Soil Cover: 1 inches
Maximum Trench Depth of: a9 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: I understand the system type speciTed is different from the type speciped on the app /ication. / accept the specifications of this permit.
Owner /Legal Represe . Si nature: Date:
This Construction Authorization is subject to r n if si 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,,o ompfiance the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
RLr-�s Date: 11 )3
Authorization Expiration Date:
HTE # _ I -:� ° 5- 31`uU2. Permit # aI-IS 4 t
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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: 3 SQcYRivI Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Metho Au Bor ng ❑ Pit ❑ Cut
Type of Wastewater: 'wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F I
I .1940
L Landscape
E Position/
# Slope %
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
.r!
Description Initial Repair System Other Factors ( 1946):
S st Site Classification (.1948):
Available Space(. 1945) Evaluated By:C("
System Type(s) Others Present:
Site LTAR