IPACHTE# 13-5 Harnett County Department of Public Health 27701
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Authorized State Ag • - Date: 11 ° Z Z-1 eS SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 if t 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
Reauired 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: A -f� -4 PROPERTY LOCATION: A 6 61A 51 '
SUBDIVISION J; &_,1'_,4 LOT #
Facility Type: CZ New ❑l Expansion El Repair
Basement? El Yes No Basement Fixtures? El Yes IX
Type of Wastewater System ** zyl& i'76pv 7 (Initial) Wastewater Flow: 3366 GPD
(See note below, if applicable ❑)
2 U (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 1 Z-0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
NN
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
WATER LINES (INCLODING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches total
* *If applicable: /understand the system type specified is different from the type specifed on the application. / accept the speciFcations 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
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
Authorized State A nt: Date: 7--Z-' r 3
Construction Authorization Expiration Date: f z z z -10
, "�
YRUrtRlr LUTAIIUN: ,�JQC: (0 V yd X34 ty
ISSUED T0:
e�
SUBDIVISION
LOT #
NEW
REPAIR ❑
EXPANSION ❑
Site Improvements requi
d prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
SzX>WC -b z-i
Projected Daily Flow:
34eO
GPD
Number of bedrooms:
Number of Occupants: (4>
max
Basement ❑Yes
2'No
Pump Required: ❑Yes
Type of Water Supply:
❑ No
❑ Community
2 ay be required bo on
❑ 1 Well
final location and elevations of facilities
Distance from well 160 feet
Permit valid for: ive years
Permit conditions:
z�
a _
❑ No expiration
Authorized State Ag • - Date: 11 ° Z Z-1 eS SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 if t 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
Reauired 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: A -f� -4 PROPERTY LOCATION: A 6 61A 51 '
SUBDIVISION J; &_,1'_,4 LOT #
Facility Type: CZ New ❑l Expansion El Repair
Basement? El Yes No Basement Fixtures? El Yes IX
Type of Wastewater System ** zyl& i'76pv 7 (Initial) Wastewater Flow: 3366 GPD
(See note below, if applicable ❑)
2 U (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 1 Z-0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
NN
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
WATER LINES (INCLODING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches total
* *If applicable: /understand the system type specified is different from the type specifed on the application. / accept the speciFcations 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
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
Authorized State A nt: Date: 7--Z-' r 3
Construction Authorization Expiration Date: f z z z -10
HTE# 13 — � _ Permit # Z776 Z
Harnett County Department of 1�iblic Health
Site Sketch
PROPERTY LOCATON:—'K/b0& N0 57 G 17-6
ISSUED TO: SUBDIVISION LOT #
Authorized State Agen Date: /L ZI-13
I
MW
M
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): -�EeZ
Location of Site: Property Recorded:
Water Supply: D'Public❑ Individual ❑ Well
Evaluation Method: ❑'Auger 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
Cr
L
Z-1 't
1
yam.,
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification ( 1948): �
Evaluated By: l^�
Others Present:
r
Available Space (.1945)
System Type(s)
^ '-
''2 -
Site LTAR