IPAC RHTE# .q-5-- ( i I J Harnett County Department of Public Health 27744
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ° . /414-1/ C
ISSUED TO: SUBDIVISION _ 0 LOT # —44—
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 05% t da
Projected Daily Flow: 3 GPD
Number of bedrooms: 13 Number of Occupants: CAP max
Basement ❑Yes No
Pump Required: es ❑ No testa be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: years
Permit conditions: ❑ No expiration
Authorized State A e t Date: '3 - 2,L ---1 SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth 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..
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
tl ��
Aggregate Depth:
WATER LINES (IN(LUDING 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 speciled on the app /icatiom / accept the specifIcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site olan. olat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershia 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
Authorized State A Date: — z
Construction Authorization Expiration Date:
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 T0: C
PROPERTY LOCATION: N
Y / ®26
SUBDIVISION
--�- OT #f
Facility Type:
�
2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2rNo Basement Fixtures?
ry
❑ Yes 210 e` 4
Type of Wastewater System — L5-61,> 124
0
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
-sue (Repair)
Installation Requirements /Conditions
Septic Tank Size t% &
Number of trenches
Exact length trench L' 0 feet
Trench Spacing: Feet on Center
gallons
of each
Pump Tank Size gallons
Trenches shall be installed on contour at a
/
Soil Cover: S� inches
Maximum Trench Depth of. -7 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:
tl ��
Aggregate Depth:
WATER LINES (IN(LUDING 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 speciled on the app /icatiom / accept the specifIcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site olan. olat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershia 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
Authorized State A Date: — z
Construction Authorization Expiration Date:
HTE# .1 Y— _ 33 11 1 /—
Harnett (bounty
Permit # 2--7 °-7 Li
I)epai4inent of �iblic Health
Site Sketch
C.,
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: i r 11
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ❑• uger Bortn ❑ 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
zz Z"
Description
Initial
System '"
Repair System
Other Factors ( 1946):
Site Classification (.1948):
Evaluated By:
Others Present: V ''
Available Space( 1945)
System Type(s)
Site LTAR
r,