IPACHTE# Harnett County Department of Public Health
Improvement Permit 27564
A building permit cannot be issued with only an Improvement Permit
yam- PROPERTY LOCATION: 14 q6 j
ISSUED T0/ l �'vr' ' SUBDIVISION Cilf� LOT # 6—
NEW CF" REPAIR ❑ EXPANSION ZI Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z5�?�f2ad�U C.11Zt9
Projected Daily Flow: 3t0 GPD
Number of bedrooms: 14 Number of Occupants: max
Basement ❑Yes No
Pump Required: es ❑ No ❑ MMaarequired based on final location and elevations of facilities
Type of Water Supply: ❑ Community L+1 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Z Five years
❑ No expiration
Authorized State Agents Z Date: &—)b `7 3 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 Buildinv 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:
cJ SUBDIVISION - eCa n&5 LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 21"No
Type of Wastewater System ** -�Dy q-� 1Z ?50/o f2<- tSc.i"L.t Si-A— (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
7 4e Z5 '' (Repair)
Installation Requirements /Conditions Number of trenches �
Septic Tank Size gallons Exact length of each trench t o ci feet Trench Spacing: Feet on Center
Pump Tank Size 000 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: i's inches (Maximum soil cover shall not exceed
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
—Z Z- inches total
* *If applicable: /understand the system type specified is different from the type specified on the app /ication. /accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect 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 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 Ag : Date: 9-16
Construction Authorization Expiration Date: ---I( —i{'
HTE # 13 71�- -3110 5- ...
Permit # e9 2 q
Ra,rijett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Y-0) /J
ISSUED TO: e", 14; icl �CVA 'r SUBDIVISION bA,565 U, Coo-C LOT #
Authorized State A Date:
�� yap �
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: 1'°J
Address: pp t Date Evaluated:
Proposed Facility: S Design Flow (.1949): 3*4c )
Location of Site: � Property Recorded:
Water Supply: I Public❑ Individual ❑ Well
Evaluation Method: [Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑7ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I .1940
L Landscape Horizon
E Position/ Depth
# Slope % (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
r
L
�Sr
sL
4A5&) P
�
W
z
_
YL
fit
3
5L
A
i.-
jak S ,(7.
If
f-
v"%8A-
%8-" TZ
—cc
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By
System Type(s) 7 2 1 Others Present:
Site LTAR