IPACHTE# i A ° r 1 -5 Harnett County Department of Public Health
Improvement Permit 27572
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: %qci
ISSUED TO: SUBDIVISION S L ` LOT # —7
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15
Proposed Wastewater System Type: 258/41 f29 ' k5CX-r- --
Projected Daily Flow: 3(0 GPD
Number of bedrooms: —: Number of Occupants: Amax
Basement ❑Yes 21-0
Pump Required: ❑Yes ❑ No Marequired based on final location and elevations of facilities
Type of Water Supply: ❑ Community L!f Public ❑ Well Distance from well feet Permit valid for: ZJ Five years
Permit conditions: ❑ No expiration
WATER LINES (INCLUYING IRRIGATION) MUST 9E IOFT. FROM AIRY PART OF SEPTIC SYSTEM OW REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: / understand the system type specified if different from the type specified on the application. /accept the rpecificationt of this permit.
Owner /Legal Representative Signature: Date:
This ranstnirtinn Authnrirafinn is subject to revocation if the site olan. ok 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 A `. Date: 'q ° —13
Construction Authorization Expiration Date: 0 / 3
Authorized State Ag :: Date: r `` SEE ATTACHED SITE SKETCH
The issuance of this permit bW 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 Building_Permio
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.
�L
ISSUED TO: C.—�`�f; A- )-� PROPERTY LOCATION:
SUBDIVISION
Facility Type: 5 L?r New ❑ Expansion ❑ Repair
Basement? ❑ Yes No r� Basement Fixtures? ❑ Yes C-lo
Type of Wastewater System ** 4-- -- C -5 ! Z
LOT # %
(Initial) Wastewater Flow: _ GPD
(See note below, if applicable ❑)
1-1) 13 C.v� - ,4epair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size /T 0 & gallons Exact length of each trench I L feet
Pump Tank Size 100o gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.. inches
Trench Spacing: _ Feet on Center
Soil Cover: 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
Conditions: fh_5- i re
inches below pipe
Aggregate Depth: Z_ inches above pipe
/ ,Z inches total
WATER LINES (INCLUYING IRRIGATION) MUST 9E IOFT. FROM AIRY PART OF SEPTIC SYSTEM OW REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: / understand the system type specified if different from the type specified on the application. /accept the rpecificationt of this permit.
Owner /Legal Representative Signature: Date:
This ranstnirtinn Authnrirafinn is subject to revocation if the site olan. ok 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 A `. Date: 'q ° —13
Construction Authorization Expiration Date: 0 / 3
HTE# 3052 Permit # Z 7 `� —7 2_
Haxnett County Deptartment of ll�iblic Health
Site Sketch
KC cpA7L4t42dx
,t6
Pul
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: Qi
Address: Date Evaluated:
Proposed Facility: Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: [ P blic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: C1,8vwage ❑ 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
L
0- 30
a 'tt
c (.
1 �nj�K (�
LIZ
9
Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR
,1