IPAC (VOIDED PERMIT. DO NOT USE)HTE#/2-.~- Harnett County Department of Public Health
Improvement Permit 2 6 8 2 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS /1)/2-
ISSUED TO• J` 7a- SUBDIVISION LOT # Z
NEW Ee( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: . (a Z) GPD
Number of bedrooms: --1- Number of Occupants: max
Basement ❑Yes ❑ No
Pump Required: ❑Yes ❑ No L~~M,ae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Lid" Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: 3 °Yo Z SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 i e 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 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: -241el/G
_ /New SUBDIVISION LOT #
Facility Type: .5❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**; (Initial) Wastewater Flow: GPD
(See note below, if applicable
.Z ~f ,4&/-'Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /7 inches
Maximum Trench Depth of- $ riches (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: Bz~ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specibed is different from the type specifled on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject 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 suolect to compoance 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 tit: Date: - /
Construction Authorization Expiration Date: (0 ! " 7
H T E # Permit #
Harnett County Department o iblic Health
Site Sketch
PROPERTY LOCATON:-Vlel%Z i'X -e~, iF-°J
ISSUED TO: SUBDIVISION LOT #
Authorized State Age' Date: f
G
ICJ'
h° C9 / z-/ DRS
~a
Zt,
Department of Environment, Health and Natural Resources
She
t
e
:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated: n
Proposed Facility: Design Flow (.1949): 5 Property Size: j
Location of Site
I Property Recorded:
Water Supply: Public❑ Individual ❑ Well
❑ Spring F1 Other
Evaluation Method: Au
er 130
g
9
Type of Wastewater: Sewa e ❑ Pit ❑ Cut
g ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
OTHER
I
1940
.
.1941
L Landscape Horizon PROFILE FACTORS
E Position/ Depth .1941 .1942
# Slope % (Tn, 1941 Soil .1943 Structure/ .1956
Consistence Wetnes
/
.1944 Profile
s
Soil
Texture Mineralogy Sapro
Color D th IN. Class
Restr Class
Horiz & LTAR
1;5-'.?p
~.a ,7Z
(I t- (a-(27
79
0
Description Initial Repair Syste Other Factors (.1946):
S stem Site Classification (.1948):,P..5
Available S ace .1945)
Evaluated B .
S stemT s)
Site LTAR Others Present: