IPACHarnett County Department of Public Health
Improvement Permit 27689
A building permit cannot be issued with only an Improvement Permit
�—° PROPERTY LOCATION: Po NOES A '9.z> ISSUED TO: V65 SUBDIVISION C. -1>,,gZ t_1 0 LOT # iOG
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5"Z—_ ( "lz �' ,
Proposed Wastewater System Type: �°Ja o U C,T 1 r3 *3
Projected Daily Flow: SSO GPD
Number of bedrooms: Number of Occupants: max
Basement [--]Yes X No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community � Public ❑ Well Distance from well �4 feet Permit valid for. X Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 'vO SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a c. of other permits. The permit holder is res onsible 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 Improv 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: $t �-c s�2c ��bmES PROPERTY LOCATION: ya,a ®A Q
SUBDIVISION �t--> NP' Ss.s�� o N 5 LOT # 1 C_
Facility Type: �� �� ^x3g� `� New ❑ Expansion ❑ Repair
Basement? ❑ Yes, No Basement Fixtures? ❑ Yes )`No
Type of Wastewater System ** �.S °tb i�( pv d �,y Sys G t n (Initial) Wastewater Flow: 1 0 GPD
(See note below, if applicable ❑)
3-5� °l® (Repair)
Installation Requirements /Conditions Number of trenches 1
Septic Tank Size 1 U C7 gallons Exact length of each trench '� 05
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench De th of• 3(:1' ) 1C
Pump Requirements: ft. TDH vs.
Conditions:
p
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
feet Trench Spacing: feet on Center
Soil Cover: 31t'nches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type specifed is different from the type specified ofl the app /ication. /accept the specifications of this permit.
Owner /Legal Representative Signature: —
This Construction Authorization is subiec 2cation if
Construction Authorization is sulto compliance
Authorized State Agent:
plat, or the intended use changes. The Construction Authorization shall not be transferred when
fLthe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
R_r_415
Date:
1. 019
on Authorization Expiration Date:
is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
0
HTE# 1 `?a 3
ISSUED TO: I;;>_) I-
Authorized State Agent:
Permit #�
Harnett County ]Department of 1--"tiblic Health
Site Sketch
PROPERTY LOCATON: en 0O �110S A
SUBDIVISION Q kA-La t--) N$. S 3 NS LOT # t4
1-.1v 64—i cn.)( -so
Date:
.v
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: 14�' V)
Address: Date Evaluated:
Proposed Facility: 1-1 eiVZ.(•L1 Design Flow (1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: AB ing F-1 Pit El cut
Type of Wastewater: I �k Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F S
.1940 .
Horizon .
SOIL MORPHOLOGY O
OTHER
Profile
.1941 .
.1941 S
.1942
.1943 .
.1956 .
.1944 P
i 0
I_, s
0
R
R
'j
X)
Description Initi 1 Repair System Other Factors (.1946):
S st Site Classification (.1948):3
Available Space (.1945) Evaluated By: f
System Type(s) Others Present:
Site LTAR