IPAC RHarnett County Department of Public Health 27772
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N
ISSUED TO: C�KO Qb- 'S'O ��tx s SUBDIVISION G 4 C,a LOT #
NEW`< REPAIR ❑ ---,EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C V �3-3zx
Proposed Wastewater System T pe: Pu -, P 1® 2IS o vc; 16,J
Projected Daily Q GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes A No
Pump Required :`ryes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well l 0 ® feet Permit valid for: Five years
Permit conditions: - __ ❑ No expiration
Authorized State Agent:: Date: E 13 1 H SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health l5epar&nt in no way guarantees RN gee of other permits. The permit holder J 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 Imp'r;l nt 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. `1
ISSUED TO: GPfL -i QIN N ELG PROPERTY LOCATION: NCD 05
SUBDIVISION Gwc,, 0k-X5 LOT # P�
Facility Type: ca psi �3� '� j� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System ** Qu me�`a aSOlp R,epv (initial) Wastewater Flow: GPD
(See note below, if applicable 11
/
uro¢7d \�L52�>,S1aF1LZOW �)-15 to air)
Installation Requirements /Conditions Number of trenches Lt `"-'
Septic Tank Size I o 0 gallons Exact length of each trench `1 !3 feet Trench Spacing: � Feet on Center
Pump Tank Size t C)Q) gallons Trenches shall be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of: IV, 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
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type speciled is different from the type specified on the app /icatiom / accept the specilcations of this permit.
Owner /Legal Representativ re: Date:
This Construction Authorization is subject to revocation if t Ian, t, 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`h� compliance wi provi ishons o nd Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1 13
Construction orization Expiration Date: _
HTE# 1 2 ° 5" 1'R-
Harnett County Department
Sketch Site
Permit # X° -)
N
105'
- -VAC -I 1 L, O Q V G
s.
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: Li 4 C-jA0C►r-,6 Design Flow (.1949)' -''dt e
Location of Site: Property Recorded:
Water Supply: Public❑ Individual F1 Well
Evaluation Metho -A AeBring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ 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
1
L.5
13'1'1
SAX Jct.
�2 5 5{
�'
i[sy� c .30
PS
.y
i%Y— SL)—
1711 11
PS
l*
PS
Description
Initial
Systeni,
Repair System
Other Factors (.1946):
Site Classification (.1948):9.3
Evaluated By: O"V
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR,
.� 1
�' (> `y`