IPACHTE # i4-5 Harnett County Department of Public Health 28170
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�
PROPERTY LOCATION: V7P+,
ISSUED TO: Nr4Fo..cq;,rL, SUBDIVISION QlINMSh'i )a 4;S LOT # i
NEW REPAIR ❑ EXP. !ION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S FD "
Proposed Wastewater System Type: `a-S"10
Projected Daily Flow: S Q::b GPD
Number of bedrooms: 12> Number of Occupants: max
Basement ❑Yes >No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well J Q feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent:: ` �'� ��l j5 Date: 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the isss f other permits. The permit holder is esponsible 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 Improve nt 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..
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
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: /understand the system type specified is diNerent from the type soecifled on the application. /accept the specifications of this permit.
Representative Signature:
Date:
This Construction Authorization ' . ct 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 s42i6t to complia ' the " s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: �� ��� Date: 1-Q- I )-d I 1'
Authorization Expiration Date: 2 r<119
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 TO: \4 GsT'tC-<t- 0`Z-4 cI..cR
s1l c PROPERTY LOCATION: a)ahVX 0 g-
SUBDIVISION Q rn Mati
C�cz.oss» 6S LOT # a
���
Facility Type: 11
New ❑ Expansion ❑ Repair
'XNo
Basement? ❑ Yes X No Basement
Fixtures? ❑ Yes
Type of Wastewater System" �. S 10
\EZ uc:N sJ Sys
(Initial) Wastewater Flow: GPD
(See note below, if applicable
2-S Ya
c.' 13.s--� Sys; 6-M (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size I 01CD 0 gallons
Exact length of each trench CO feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: C - �kH— inches
Maximum Trench Depth of: 1�% '3,(— 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:
inches below pipe
Aggregate Depth: inches above pipe
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: /understand the system type specified is diNerent from the type soecifled on the application. /accept the specifications of this permit.
Representative Signature:
Date:
This Construction Authorization ' . ct 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 s42i6t to complia ' the " s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: �� ��� Date: 1-Q- I )-d I 1'
Authorization Expiration Date: 2 r<119
HTE# `14-5- -35o3-4 Permit # 231'+ 0
Harnett County Department of IA-iblic Health
Site Sketch
PROPERTY LOCATON: i:;, �2F P,X Qrz-
ISSUED TO:
lr'c— SUBDIVISION V%Is+�q CCIC55wr.5 LOT #
Authorized State Agent: az Rs(Oi-vm —T0L-y-.sL Date:
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: 3 %02tA Design Flow (.1949):36 dssd
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method:[] Auger Boring ❑ 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
5L
t�
Description Initial Repair System Other Factors (.1946):
Systeii Site Classification (.1948): -P.5
Available Space(. 1945) Evaluated By: Qj
System Type(s) as le -D Others Present: 1
Site LTAR • S