IPAC_`lTE#A5-'5- - _Y --K) I Aarnett County Department of Public Health 2851 11,
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: i ao rpt
ISSUED TO: 0 t<16--, � ra t". SUBDIVISION LOT #
NEW REPAIR ❑ EXP ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: L --,'3
Proposed Wastewater System Type: D% !!3'W o ®uCX' tl 14YS "C [ Sr
Projected Daily Flow:GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations f facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L feet Permit valid for: XFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: `t 1 15 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarante issua ca -f other permits. The permit holder 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 p em t 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 speciped is different from the type speciped on the app/ication. / accept the speci>`cations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subjec nation if the site Ian, 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 ovisions a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: —rte Date: ) % 1
Con n Authorization Expiration Date: y
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:
1
PROPERTY LOCATION: f ®r,/
"� SUBDIVISION 0A --e secs LOT # �
Facility Type: e0Z � Qi6
7-3 3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes __�< No
Basem nt Fixtures? El Yes L5fo
p
Type of Wastewater System**
�� ° � � (; 1 0 �f `Y3: C --N- (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
/ V Ca. s � 9`�
(Repair)
Installation Requirements/Conditions Number of trenches L-A
Septic Tank Size 1 I'D () 0
gallons Exact length of each trench $ feet Trench Spacing: Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a Soil Cover: &r' inches
Maximum Trench Depth of: 1$ '�� 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: 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 speciped is different from the type speciped on the app/ication. / accept the speci>`cations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subjec nation if the site Ian, 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 ovisions a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: —rte Date: ) % 1
Con n Authorization Expiration Date: y
HTE# k5-5--,-Zol Permit # M51 G
ISSUED TO:
Authorized State Agent:
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 12>-;--, o N I -N
G SUBDIVISION C) PY—— 0 vlLOT # H
iv
ovsc
MI
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: LN Design Flow(. 1949): 'A0
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
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
SOIL MORPHOLOGY
.1940 .1941
Landscape Horizon
Position/ Depth .1941 .1941
Slope % (111.) Structure/ Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
1956
Sapro
Class
.1944
Restr
Horiz
System T e(s)
/c
Others Present:
Site LTAR
L}.�Zi L
C yet
q-3(
5c3 '4, is ()_
';10. -35�
P
C3 -
Description
Initial
Sste
Repair System
Other Factors (.1946):
Site Classification (.1948) Q�
Available Space(. 1945)
J
Evaluated By:
System T e(s)
/c
Others Present:
Site LTAR
L}.�Zi L
C yet