IPAC RHTE# 13—S--3P5B5iZ Harnett County Department of Public Health
Improvement Permit 27357
A building permit cannot be issued with only an Improvement Permit
Authorized State Ag :: fir Date: " - t 'Z - -f ,-3 SEE ATTACHED SITE SKETCH
The issuance of this permit by 6VHealth 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 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 layoffuL
ISSUED TO: �° ��J,z;c � PROPERTY LOCATION: 6Z tZ-b
�� SUBDIVISION W011 `i �t:.s�, LOT # —!r—
Facility
Type: -S P L( New ❑ Expansion ❑ Repair
Basement? ❑ Yes 21"No Basement Fixtures? ❑ Yes E3' loo'
Type of Wastewater System ** Z S�� oZt�4� L41" N4 S 4fl-1 (Initial) Wastewater Flow: Lo 0 GPD
(See note below, if applicable ❑)
2157/41 f`ZZ4, 1�0 (Repair)
Installation Requirements /Conditions Number of enches
Septic Tank Size /0Q`0 gallons Exact length of each trench 10 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 2Z—)1F 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 ]OFT. 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 specified is different from the type specified on the app lication. / accept the speciTcations 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 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
,��z -1
Authorized State t: �''� r✓�li��,.°� Date:
Construction Authorization Expiration Date: 3 �) —1
PROPERTY LOCATION;, — "Std %S02 GifyJ�- i'2,D
ISSUED TO
yti SUBDIVISION /,JA-s` 4
LOT # �
NEW
REPAIR ❑
XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater
System Type: Z.,i;- I<ZIa () U )�
Projected Daily Flow:
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes
No
Pump Required: ❑Yes
Type of Water Supply:
❑ No
El Community
Z Ma required based on final location and elevations of facilities
L Public ❑ Well Distance from well feet Permit valid for:
'
2- five years
Permit conditions:
❑ No expiration
Authorized State Ag :: fir Date: " - t 'Z - -f ,-3 SEE ATTACHED SITE SKETCH
The issuance of this permit by 6VHealth 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 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 layoffuL
ISSUED TO: �° ��J,z;c � PROPERTY LOCATION: 6Z tZ-b
�� SUBDIVISION W011 `i �t:.s�, LOT # —!r—
Facility
Type: -S P L( New ❑ Expansion ❑ Repair
Basement? ❑ Yes 21"No Basement Fixtures? ❑ Yes E3' loo'
Type of Wastewater System ** Z S�� oZt�4� L41" N4 S 4fl-1 (Initial) Wastewater Flow: Lo 0 GPD
(See note below, if applicable ❑)
2157/41 f`ZZ4, 1�0 (Repair)
Installation Requirements /Conditions Number of enches
Septic Tank Size /0Q`0 gallons Exact length of each trench 10 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 2Z—)1F 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 ]OFT. 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 specified is different from the type specified on the app lication. / accept the speciTcations 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 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
,��z -1
Authorized State t: �''� r✓�li��,.°� Date:
Construction Authorization Expiration Date: 3 �) —1
HTE# 13
Permit # S-7
14(arnett County I wnt of Public fle(alth
Site Sketch
PROPERTY LO CATO N-5C/iFe," Z
ISSUED TO: SUBDIVISION LOT #
Authorized State Aged- Date: t -1-3
0
15
M
W 4 NJ
01
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: 37 (e-c'13
Proposed Facility: `a l'—� Design Flow (.1949): _T&<
Location of Site: Property Recorded:
Water Supply: (Public❑ Individual ❑ Well
Evaluation Method:131"Auger Bori g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ 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 1
t 50hs?
i rc
c
IL
12- �
�=_C
f J AS.!
32 . -
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
/
System Type(s)
Z
Site LTAR
N