IPAC RHTE# /% ago% �i Harnett County Department of Public Health
28952
Improvement Permit
Authorized Statekiiii
Date: ��'`�i—r/_ SEE ATTACHED SITE SKETCH
The issuance of this permit h Department in now guarantees the iuuance of other her permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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 contraction and installation requirement 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:Ce -.L5L� /7ir� LLL PROPERTY LOCATION: �J�y✓orfu�rL
SUBDIVISION FTehSJV)" �,a ~ -> LOT #
Facility Type: L, New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes LJ No
Type of Wastewater System** ZS2%, (Initial) Wastewater Flow: 3(6 GPD
(See note below, if applicable ❑) /
Z -M QZ� u2o-.- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /do d gallons Exact length of each trench Z T& feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil (over. 7 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
/— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system ope speciled it different Imm the type spedled on the app/ic2don. / accept the rpedlcadons o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended ure changes. The construction Authorization shall not be tanshrred when there is a change in ownership of the site. This
Constructions Authorization is subject so compliance with the provisions of the Laws and Rules for Sewage Treatnent and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Stat A'ent: JDate: 7 -' o lt�
/' Construction Authorization Expiration Date: -7 - �7 - L/
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I�I3N ?OiV7S� /u�
ISSUED TO: r
/ _ —
%%i/d 74`—a
/
f{� s C11 SUBDIVISION SToI-faJas-- {r+n —s
LOT # z�
NEW ❑
REPAIR ❑EXPANSION
❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
�'�i
Proposed Wastewater System Type: ?5`;1, Z,0 --->y c n�
Projected Daily Flow:
-3"
GPD
Number of bedrooms:
4
Number of Occupants: 6 max
Basement []Yes
D40
Pump Required: ❑Yes
Type of Water Supply:
❑ No
El Community
ffmM; be required based on final location and elevations of Facilities
Public ❑ Well Distance from well feet Permit valid for.
��
2 -Five years
Permit conditions:
❑ No expiration
Authorized Statekiiii
Date: ��'`�i—r/_ SEE ATTACHED SITE SKETCH
The issuance of this permit h Department in now guarantees the iuuance of other her permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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 contraction and installation requirement 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:Ce -.L5L� /7ir� LLL PROPERTY LOCATION: �J�y✓orfu�rL
SUBDIVISION FTehSJV)" �,a ~ -> LOT #
Facility Type: L, New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes LJ No
Type of Wastewater System** ZS2%, (Initial) Wastewater Flow: 3(6 GPD
(See note below, if applicable ❑) /
Z -M QZ� u2o-.- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /do d gallons Exact length of each trench Z T& feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil (over. 7 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
/— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system ope speciled it different Imm the type spedled on the app/ic2don. / accept the rpedlcadons o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended ure changes. The construction Authorization shall not be tanshrred when there is a change in ownership of the site. This
Constructions Authorization is subject so compliance with the provisions of the Laws and Rules for Sewage Treatnent and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Stat A'ent: JDate: 7 -' o lt�
/' Construction Authorization Expiration Date: -7 - �7 - L/
HTE# /G — — 310 (1 1 % Permit # Z6 Z
Harnett County Department of Public Health
Site Sketch.
//— PROPERTY LO(ATON: 3 r/
ISSUED TO: SUBDIVISION LOT #
Authorized State
Date: -7-19-16
/3/wcf Tot-�)-,wj a
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: Design Flow(. 1949):3&Z
Location of Site:��,,'P� Property Recorded:
Water Supply: of'Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: []---Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(1n.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color—Depth
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
lrt
37
w
Sic,
z
to- yo
0u-15.lt
36
Description Initial Repair System
S st
Other Factors (.1946):
Site Classification (.1948)PIS
Evaluated Byl�_l
Others Present:
Available Space (.1945)
System Type(s) `L 2W
Site LTAR . Y