IPAC RHTE#/S�3ziZHarnett County Department of Public Health 28500
Improvement Permit
builg permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION�C -76 i
ISSUED TO: e.),) �L /(GF SUBDIVISION �— LOT #
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _
Proposed Wastewater
Projected Daily Flow:
Number of bedrooms:
Basement []Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
_ GPD
Number of Occupants: _max
In No
❑ No1
7 na a required based on final location and elevations of fadlities
El Community blic ❑ Well Distance from well feet
Permit valid for.
Five years
❑ No expiration
Authorized State C, a%'/A J��S/ Date: `7— Z.)—dam SEE ATTACHED SITE SKETCH
The issuance of this permit by a ealth 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 revomton i e me 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
Reouired for Buildinn Permit
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, AM, .1958. and .1959 are incorporated by references into this permit and shall be meL Systems shall be installed in accordance
with the attached Vtem layout
zv'uv
ISSUED TO: _y 145-6;62 !'cP�CO PROPERTY LOCATION;--YL/707
/ S"Exw,SION LOT #
Facility Type: F� ., / 4 k� ��01 ❑ New �Q� Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L+1 No
Type of Wastewater System** LSl tZ�St�1tGZe1��y�S><Y.>_ (Initial) Wastewater Flow: - GPD
(See note below, if applicable ❑) /
Z �1&� f' , (Repair)
Installation Re uirements/Condition"y�, �� Number of trenches
Septic Tank Size g5lyd9
ns Exact length of each trench �� feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.- inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
1p inches below pipe
Depth: Z inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
/Z inches total
**If applicable: / understand the system type "pec/fed it different from the type rpeciffed on the application. / acrept the fpeafcanizor 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 tmnsler it when there is a change in ownership of the site. This
Construction Authorization is subject to campliana with the provisions of the Laws and Rules for sewage Treatment and Disposal and to the conditions of this Perris. SEE ATTACHED SITE SKETCH
Authorized State Age Z Date: 07— 74—/S—
Construction
R—/S'Construction Authorization Expiration Date: 5-2f— ZO
HTE#/S— 5 36832 Permit # 285-00
Harnett County Department of 11tiblie Health
Site Sketeh
i3OMr-i- '7Z,0(.A1 91CUe- PROPERTY LOCATON3U:7&--2 L{k_� le6
ISSUED TO: -/ 14-,-C� R;ez- C1L_- SUBDIVISION LOT #
Authorized State A G ZLoy� Date: S— Z / —/ S
-y Keep, r �j 77,-, k // 0 /21,W _Zw � Ebi
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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: 'Gt' 540 Design Flow (.1949): 32_.
Location of Site: ,..,,� Property Recorded:
Water Supply: _Ll ruolic❑ Individual ❑ Well
Evaluation Method: [3 4,2e, BBorri 8 ❑ Pit ❑ Cut
Type of Wastewater: LT Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
Description
.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
1.2-
.2
Description InitialRepair System Other Factors (.1946):
System Site Classification (.1948): 3�
Available Space(. 1945) Evaluated By: �l1
System Type(s) Others Present: V (/J••_
Site LTAR