IPAC RHTE# 14 - Harnett County Department of Public Health 29790
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: c1.-.� 52 ISIS
ISSUED T0: -6n rA ytcAk SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: H 61L- S q icy S t $tom
Proposed Wastewater System Type: 15 -4.
Projected Daily flow: 450 GPD 17
Number of bedrooms: -- Number of Occupants: _(max
e,...... My—
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
❑ No a-1 ay be required based final location and elevations of facilities
❑ Community ❑ Public �'V�ell Distance from well f CO feet 0 r �
Permit valid for.
terve years
❑ No expiration
Authorized State Agent: Date: esf r e I I a b t SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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.
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.
**If applicable, / understand the system type specified is different ham the type speciled on the app/icadon. / accept the speci6ladons 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 compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: cal I I I ) a6t
itaJ L� 22a� Construction Authorization Expiration Date: v 1 111).161,
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1958, .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: J uS-V\ f\ My`ll�
, PROPERTY LOCATION:
k0 C4
CZ -A . (.52 15a4
Facility Type: blit- 551/Y56t 5
SUBDIVISION
New ❑ Expansion ❑
LOT # qA—
Repair
Basement? ❑ Yes C3—I o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
(Initial) Wastewater flow: /-/Or) GPD
(See note below, if applicable ❑)
96%v
444 k'c,n S -n,5. (Repair)
.
Installation Requirements/Conditions
Number of trenches 9
Septic Tank Size f a 50 gallons
Exact length of each trench 100
feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: / Q inches
Maximum Trench Depth of 944-
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
wA inches below pipe
Aggregate Depth: NA inches above pipe
Conditions: t,3ry aQru �: n
� ,r� i Cs mar ur ' n .e.V4
'c
A rr a. N A inches total
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.
**If applicable, / understand the system type specified is different ham the type speciled on the app/icadon. / accept the speci6ladons 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 compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: cal I I I ) a6t
itaJ L� 22a� Construction Authorization Expiration Date: v 1 111).161,
HTE#�j� Permit# 9�% -1%U
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Wulff T hn5nn 6Z-, (,52 1514
ISSUED TO: _SSS A:;z r% M „I c o h SUBDIVISION LOT #
Authorized State Agent:
� AAa�J
Date: C>1 I1t i Q0tG
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I
Sy'Y 591
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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: A&C%411j
Address: 6,)V-41k"TL, %"A Q- - Date Evaluated: 18/141114
Proposed Facility: � DesigFlow(. 1949): D�i�^0,-t>Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ell
Evaluation Method:E].-ATiger Bon ng- ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: t'i Ale, 4- _
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
MineralogyColor
.1942
Soil
Wetness/
.1943.1956
Soil
Depth (M.)
Sapro
Class
.1944
Restr
Horiz
IV
L 2$
t s t—C
44 W/
Na�
yap
n
—
Yo
C)"
Description Initial Repair System Other Factors (.1946):
System - Site Classification (.1948): a✓i5 / h"�/� S.-' �"
AS vsaielmab(.1945) Evaluated By: �rr
t
✓ Others Present:
Site LTAR