IPAC RHTE# Harnett County Department of Public Health 26187
(marovement Permit
A building permit cannot be issued with only an improvement -Permit
PROPERTY LOCATION:_ p
r (C( ,~f
ISS
UED T0:
SUBDIVISION
_
LOT it
NEW
REPAIR El
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
f
c{7
Proposed Wastewater System Type: 2.fJo ,eccf c~
Projected Daily Flow:
Q0
_ GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes
fro
Pump Required: ❑Yes
El No
L7
May,be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
?
[9' Public ❑ Well Distance from well feet
Permit valid for wive years
Permit conditions:
❑ No expiration
Authorized State Agent:: ~u ~ - Date: ~~~/~6l a SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 if 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
(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 TO: ~ 4 C~0A r4.-- c# ~ t ~
PROPERTY LOCATION: f_~ 14/ 'k -F - /V1 SUBDIVISION c - LOT #
Facility Type: f ~ el-INew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2. (Initial) Wastewater Flow: GPD
(See note below, if applicable p
dc-~,~-~t`~, z - (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 000 gallons Exact length of each trench -1-0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 9.2 inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: 9 Feet on Center
Soil Cover: ( ;Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
{ Aggregate Depth:
dons: C:~.~."~°~ ed 4t:`
tJ~2 e .N\V l~4 C ~ ~ Q ~ eta Qh>/ 1/h: ` Ci f~}`• l
inches below pipe
inches above pipe
/ inches total
**If applicable: / 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 chances. The Construction AuthoriTatian thrall not ho trand-r A whon thorn s( , A- . onti,~ M r6 , a Thi,
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. SEE ATTACHED SITE SKETCH
Authorized State Age Date: 2 el
Construction Authorization Expiration Date: dr- Z,:7 z °!f
HT€# %C3 -S - 02 Y9 '4r t Permit # T 7
Harllett Count- Department of Public Health
Site ketch.
PROPERTY LOCATON: , ~c✓
ISSUED T0:/~t-~ SUBDIVISION LOT
Authorized State Agen . Date:'
C>
/,Z
r
~ e I
Department of Em+irvnmemt, Health and Natural Remuces
Division of Euvironmental Health
On-Site Wastewater Section
SOQ.JSYTB EVALUATION
for ON-SITZ WASTzWATZIR SYSTEM.
Owner: Applicant
Addresic
Proposed FacilitT
Location of Sitx
Water S-uppij
Evaluation Method:
Type of Wastewater:
Date Evaluated: A') z
Design Flew (.1949):
,~Propeey lteoorded:
IC! do ❑ lndtvidual ❑ Well
ClAuger Boring ❑ Pit ❑
Sewage ❑ Industrial Process Cl
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
L
.1940
L
W6
.1941
PROFILE FA~'iOR'J
z
mpr
Hoeizoa
1949
9
N
PosideW
Slope
Dept!!
(1m)
.1941
St
/
.1941
.
Soil 1049
.1916
.1444 Prothro
rvdure
To
Corwdmm
Mlnnb
webmw Soil
Color IN
Sepro
Reds CteM
-1P
G Z-5'
C(ar
Hods. A LTAE
"°paw jyffum Mar Factors (.1946k
don Site Classiflcadon (.19482.1'
ern Evaluated By: j2 ,
Others Present