IPACNTE#3-3 Harnett County Department of Public Health 28636
Improvement Permit
Authorized State Agent:: Date: 1 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the armor other permits. The permit hold is resp ns ble 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 Improv ment 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, .19S2, .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: i6�Ay Csu Me -,5 1" C— PROPERTY LOCATION: SP rP ii SPH `yvt�
SUBDIVISION P 1-1� MP,n LOT # S 6
Facility Type: LRD ��'JEse�) few ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Nos
Type of Wastewater System** -! '/o 92�D �� V>y vS (iq> (Initial) Wastewater Flaw: GPD
(See note below, if applicable ❑)
O,5'/0 (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size 1 gallons Exact length of each trench Z-14-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, inches
Maximum Trench Depth of: l8 4< inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 5 SE 36' above the trench bottom)
in all directions) SCES�
Pump Requirements: h. TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type spedfled iss different from the type spedfled on the app/kation. / accept the spedhialtionr of this permit
Owner/Legal Represen ive Signature: Date:
This Construction Authorization is subject to tion 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 sulyC,ct to complia ith i ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: N�� 5 Date:
Authorization EXDIration Date:
A building permit cannot be issued with only an Improvement Permit
ii, CouQ.'C
�C)mf-5 '\^'C.
PROPERTY LOCATION: Sl+tiyNrlFv'ta
ISSUED TO: \Az-�-4C-—
SUBDIVISION V, -\AN i" �-s1-3G LOT# fb
NEW LQ REPAIR ❑
E"SION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'fQ "
Proposed Wastewater System Type:
QCSCt t xJ
Srs e-T�
Projected Daily Flow: 160
GPD
Number of bedrooms: 3
Number of Occupants: %
max
Basement ❑Yes '0 No
Pump Required: ❑Yes ef�rNo
❑ May be required based on final location and elevations of Facilities
Type of Water Supply: ❑ Community K Public ❑ Well
Distance from well T 00 feet Permit valid for. Five years
'
Permit conditions:
❑ o expiration
Authorized State Agent:: Date: 1 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the armor other permits. The permit hold is resp ns ble 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 Improv ment 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, .19S2, .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: i6�Ay Csu Me -,5 1" C— PROPERTY LOCATION: SP rP ii SPH `yvt�
SUBDIVISION P 1-1� MP,n LOT # S 6
Facility Type: LRD ��'JEse�) few ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Nos
Type of Wastewater System** -! '/o 92�D �� V>y vS (iq> (Initial) Wastewater Flaw: GPD
(See note below, if applicable ❑)
O,5'/0 (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size 1 gallons Exact length of each trench Z-14-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, inches
Maximum Trench Depth of: l8 4< inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 5 SE 36' above the trench bottom)
in all directions) SCES�
Pump Requirements: h. TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type spedfled iss different from the type spedfled on the app/kation. / accept the spedhialtionr of this permit
Owner/Legal Represen ive Signature: Date:
This Construction Authorization is subject to tion 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 sulyC,ct to complia ith i ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: N�� 5 Date:
Authorization EXDIration Date:
HTE# \s - 5-'�3-n33 Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: NJ
ISSUED TO: SUBDIVISION LOT #
Authorized State Agent. �y� `O vDate: Y �b
MP -9 BC--
CI,
C
c,
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: nDesign Flow(. 1949):�6o�(�d
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual El well
Evaluation MethodAuger Bing ❑ Pit ❑ Cut
Type of Wastewater:—: , wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
LS
0-.0'
L `�
VR rtS�vQ
C.i-
Ca
- 3ss
Description Initial Repair System Other Factors (.1946):
Systcyn, Site Classification (.1948):_1?_j
Availab(. 1945) Evaluated By: O'
S stm
Others Present:
Site LTAR , 3 y— , S