IPAC RHTWq—.� =33 --72— /Z Harnett County Department of Public Health 28070
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Authorized State Ant:: Date: i /"7 --! 7 SEE ATTACHED SITE SKETCH
The issuance of this permit t Health 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 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
PROPERTY LOCATION: 5iL/ `{D i /<fd I ICAS J"- ( /246
ISSUED T0: ,��c I /�
JG�`f L/
SUBDIVISION
LOT # —3
NEW REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization
Issuance:
Type of Structure: .S t� —D
1 Za Jl?�s / ✓Ldp
Proposed Wastewater System Type: ?vh..n
d--a Z5% i
Facility Type: Sw
❑ Expansion ❑ Repair
Projected Daily Flow: 7 2
GPD
Type of Wastewater System ** F v vr> 4,
Number of bedrooms: (P
Number of Occupants: /2—
max
Basement 3Tes ❑ No
Y� -- 4
2 Repair)
Pump Required: [?is---" ❑ No
❑_M_aequired based on final location and elevations of facilities
4
Type of Water Supply: ❑ Community
L7 Public ❑ Well
Distance from well feet Permit valid for:
Ld'Ftve years
Permit conditions:
Soil Cover: inches
❑ No expiration
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4"
36" above the trench bottom)
Authorized State Ant:: Date: i /"7 --! 7 SEE ATTACHED SITE SKETCH
The issuance of this permit t Health 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 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..
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.
* *If applicable: l understand the system type specified is different from the type specified on the application. /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
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 Xt AI IALHLU Nit JR ILM
I �
Authorized State t: Date:
Construction Authorization Expiration Date: 5 —/7 /9
Construction Authorization
(Required for Building Permio
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: / /lam i—tzl PROPERTY LOCATION: 021UCta
1 Za Jl?�s / ✓Ldp
SUBDIVISION
LOT #
Facility Type: Sw
❑ Expansion ❑ Repair
Basement? Ef Yes ❑ No Basement Fixtures? LJ Yes ❑ No
Type of Wastewater System ** F v vr> 4,
ZSaf'a t?l>�rc,c'Z�t� V� , s fir--
(Initial) Wastewater Flow: —7 2-76 GPD
(See note below, if applicable 0
Y� -- 4
2 Repair)
Installation Requirements /Conditions
0'0
Number of trenches �% _
4
Septic Tank Size / gallons
Exact length of each trench / 0 6 feet
Trench Spacing: ! Feet on Center
Pump Tank Size ! :EJ Q gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: �- % 8 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
_� inches below pipe
Aggregate Depth: inches above pipe
Conditions:
4-" Vmss bi
Z— inches total
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.
* *If applicable: l understand the system type specified is different from the type specified on the application. /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
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 Xt AI IALHLU Nit JR ILM
I �
Authorized State t: Date:
Construction Authorization Expiration Date: 5 —/7 /9
HTE# 114 —,S-- 3322'71Z
ISSUED TO:
Authorized State
Permit # 2 6'0 —7 U
Harnett County Department of Public Health
Site Sketch
5,I,::�l
24
PROPERTY LOCATON: -1 Yd
SUBDIVISION LOT # 3
,Z�� -Tc. Date: Y-17 —/Z
r--�
-5[Z- 1 4D 1 Z[ f L,as n..v-C( U
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: 94 J
Address: Date Evaluated: 7g�D
Proposed Facility: Design Flow (.1949):
Location of Site: �� Property Recorded:
Water Supply: Public[:] Individual ❑ Well
Evaluation Method: ger Boring ❑ Pit ❑ Cut
Type of Wastewater: --- ET-asewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
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�= o
C4 A-11
v-5 •�•
36 3� s.�
3
C C11
Ca-s... -.
�- /u
-3f,
Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By
Others Present:
Available Space (.1945)
System Type(s)
5
a
Z J c
Site LTAR