IPACH T E # t' S Harnett County Department of Public Health
Imarovement Permit 27 562
Authorized State Agel — 1,-% z Date: 6-1 5"F _ SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department in no wa 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 a 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. j
ISSUED TO: PROPERTY LOCATION: 42,d :5— z -;7* rte.
�/ SUBDIVISION �c/rt ..l� C,. LOT # d
Facility Type: E' New ❑ :1, Expansion ❑ Repair
Basement? ❑ Yes 5KNo Basement Fixtures? El Yes [AND
_
Type of Wastewater System ** Z % gee `' (Initial) Wastewater Flow: 3C GPD
(See note below, if applicable ❑)
5'`? �� —. (Repair)
Installation Requirements /Conditions Number of tren es
Septic Tank Size C, gallons Exact length of each trench 66 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: Z 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:
5 inches below pipe
Aggregate Depth: 2 inches above pipe
17— inches total
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.
* *If applicable: / understand the system type specified is different from the type speciFed on the application. l 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
CEE ATTACUM CITE CVETru
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. JLL MI InLnw 311 olsnLn
Authorized State Age . Date: 8-- 13--13
Construction Authorization Expiration Date: q — L5-:- - i
A building permit cannot be issued with only an Improvement Permit
j
2
PROPERTY LOCATIONZ-°�"°
P� �
ISSUED T0: �✓!
'TZ
° SUBDIVISION (n /'7>,0
LOT #
NEW ®"
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 25Z
'' ,
Projected Daily Flow:
GPD
Number of bedrooms:
3
Number of Occupants: max
Basement ❑Yes
E2 4o
Pump Required: ❑Yes
❑ No
Z- MM,av -be required based on final location and elevations of facilities
El from feet
Permit for: 2live
Type of Water Supply:
❑ Community
L!f Public Well Distance well
valid years
Permit conditions:
❑ No expiration
Authorized State Agel — 1,-% z Date: 6-1 5"F _ SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department in no wa 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 a 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. j
ISSUED TO: PROPERTY LOCATION: 42,d :5— z -;7* rte.
�/ SUBDIVISION �c/rt ..l� C,. LOT # d
Facility Type: E' New ❑ :1, Expansion ❑ Repair
Basement? ❑ Yes 5KNo Basement Fixtures? El Yes [AND
_
Type of Wastewater System ** Z % gee `' (Initial) Wastewater Flow: 3C GPD
(See note below, if applicable ❑)
5'`? �� —. (Repair)
Installation Requirements /Conditions Number of tren es
Septic Tank Size C, gallons Exact length of each trench 66 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: Z 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:
5 inches below pipe
Aggregate Depth: 2 inches above pipe
17— inches total
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.
* *If applicable: / understand the system type specified is different from the type speciFed on the application. l 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
CEE ATTACUM CITE CVETru
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. JLL MI InLnw 311 olsnLn
Authorized State Age . Date: 8-- 13--13
Construction Authorization Expiration Date: q — L5-:- - i
HTE # 96 Permit # 27
11,U-Ilett ('ounty I)epartnient of Public Health
Site Sketch
17-7 -
a
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: - Design Flow (.1949): 31a
Location of Site: Property Recorded:
Water Supply: [lublic❑ Individual ❑ Well
Evaluation Method:DAuger Boring ❑ 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
�9Z
�-M -'
L
`�A
1A
`l
L e �ld
L-U ej
J �J
L
N twN
N - yd
✓°"'
6
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR
G