IPAC RHTE# 1IQ Harnett County Department of Public Health
Improvement Permit 2 6 2 6 8
A building permit cannot be issued with only an Improvement Permit
Q PROPERTY LOCATION: M tats
ISSUED T0: ~L?~C.~~t Lt.t N~`hE s C' SUBDIVISION (.',~-Ae? rcc42, LOT # ti_
NEW,X REPAII❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~ Proposed Wastewater System Type: Caw W Es~, t"~"L_ uc•
Projected Daily Flow: lk'0 GPD
Number of bedrooms: -4> Number of Occupants: cc~ max
Basement ❑Yes )9,No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well 1LJC feet Permit valid for. Five years
Permit conditions: _ V c ❑ No expiration
Authorized State Agent.: ~`~5 Date: ° 1i~ 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance her permits. The permit holder is re onsible 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 it 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 T0: PROPERTY LOCATION:
SUBDIVISION N-a»c~~cc LOT # L13
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes "S~ No Basement Fixtures? ❑ Yes
Type of Wastewater System" & wv ~ % u Q,L Wu (Initial) Wastewater flow: 3(0 GPD
(See note below, if applicable
c44 0 N ~:,,L- ~9 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 16e)0 gallons Exact length of each trench '2 0 feet Trench Spacing: r1 Feet on Center
Pump Tank Size ~ CC Q gallons Trenches shall be installed on contour at a Soil Cover: la 3.9 inches
~09149 Maximum Trench Depth of: a.L~ 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 C inches below pipe
Conditions:
Aggregate Depth:
a inches above pipe
1 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 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 changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to comp ian rovisj2 the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE AI IACHED SITE SKETCH
Authorized State Agent: N aC.HS Date: 16 0
Constr ' n Authorization Expiration Date: c t ' S'
HTE# l O 5 ~ _ Permit # 9 ~ 42
Harnett County Department of Public Health
Site Sketch
ISSUED TO: 16 C- -1,-L \A
Authorized State Agent:
PROPERTY LOCATON: V) la,Z
SUBDIVISION LOT # "
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Department of Envim went, Health and Natural Resources Shut:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File tl:
SOMME EVALUATION Code:
for OK-SITZ WASTIgWATZItSYSTEr4
Owner: Applicant:
Address: Date Evahmbuk
Proposed Facility: 3 G ~,pgige Flow (.1949): %0 v) Prop" Size:
Location at 31ta Property girded
Watex 3uppij ~J IiC ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: uger Boring ❑ Pit cut
Type of Wastewater: Sewage ❑ Industrial Process Mixed
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SOIL MORPHOLOGY
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.1940
Landsoam
Position/
Stop. %
Horizon
Depth
(in,)
.1941
.1941 .1941
Strucu" Considana
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1941
soil
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Color
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