IPAC RHTE# 10-s Q_ Harnett (Lounty Department of Public Heaiw
Improvement Permit 2 6 2 0 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L.aVQ (7nen- G Caivt~.~ Rb
ISSUED T0: ~+-ay'so N x-10 ~E5 SUBDIVISION LOT #
NEW'X REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Moss&_aN, x-J6 _
Proposed Wastewater System Type:
°l6 v c-~, o N Sys
Projected Daily Flow: 3(a O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes "%No
Pump Required: ❑Yes ❑ No tXMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well LCO feet
Permit conditions:
Permit valid for. Five years
❑ No expiration
Authorized State Agent:: Date: "1 I ►q 110 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc o It permits. The permit hold 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 Improvemen mit 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, .1957, .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)-t-1,So%-t tk0
Facility Type: ~o-D New
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System** 2- -/o hcouc.;:-, o
(See note below, if applicable
PROPERTY LOCATION: L~01E- C19_101C C_,1-101Lcv 1
SUBDIVISION LOT #
❑ Expansion ❑ Repair
'N No
S-i S-~ ~1 ^ (Initial) Wastewater Flow: 3C4 GPD
asyc Rk.0vuc\oN ~ BEM R
Installation Requirements/Conditions
Septic Tank Size s b o o gallons
Pump Tank Size t. c7aCO gallons
(-t F " EG" Go
Pump Requirements: ft. TDH vs.
Conditions:
CSJ~
a t'+Z V Crc . d e s M
( epalr)
Number of trenches
Exact length of each trench IS- feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: ) a, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: -c-inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
M Aggregate Depth:
r0S'~ ~MP~'rN ~ENC.~U V Fes' ~UQ~YJ G
inches below pipe
inches above pipe
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 specifed is different from the type specified on the app/ication. /accept the rpeciTcationr of thi permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocatiottyf the swan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chanee in ownership of the site. This
Construction Authorization is s to compliant t e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
F
Authorized State Agent: -15 Date: `7 tia 4
Construe ' n Authorization Expiration Date:
HTE# ~~"5=a~►~~3~ Permit #a0~
n(arnett county I)(1-pal-tjllent of PlIblic Helt1th
sit{~ shetc h
PROPERTY LOCATON: gyE GczA,~ _ ~~'+yg Y,
ISSUED Td: G-RYTo SUBDIVISION LOT #
Authorized State Agent: v -ToL~sDO Date: ► I~ d
t o „G ~o2LJY C-\-\ v ~i GZ \ 60'
Rj .N
Department of Environment, Health and Nall- Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: / n~
Address: Date Evaluated:
Proposed Facility: Design Flow ( 1949):
Location of Site: Property Recorded:
Water Supply: Q~ blic ❑ Individual ❑ Well
Evaluation Method: [uger Boring ❑ Pit ❑
Type of Wastewater: 0 Sewage ❑ Industrial Process ❑
Sh
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope *A
Horizon
Depth
(In.)
.1941
StnrctWW
Texture
.1941
Consistence
ineralo
.1942
Soil
Wetness/
Color
.1943
soil
Depth IN.
.1956
Sapro
Class
.1944
ReW
Horiz
Profile
Class
dt LTAR
G-
U ~✓fi~f
kA l ~'f
C,~~1
A~
-/Z
C
if
J37)
c) t
Description
1
Initial
Systerry
1
Repair ystem
Other Factors (.1946):
Site Classification (
1948
'P
Available S ,ce 1945) 1
.
I
E
l
d B
1
.4 )
va
uate
y: 6-.~
O
h
Site LTAR
t
ers Present: 15
r~