IPAC RHTE# Harnett County Department of Public Health
Improvement Permit 26601
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION- -r"'1
ISSUED TO SUBDIVISION ck c _1 LOT # _FY
NEW e REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F0 ' :7
Proposed Wastewater System Type: v, 4c ~+rc.ti~ v=t
Projected Daily flow: 0 GPD
Number of bedrooms: J Number of Occupants: max
Basement ❑Yes~^ CRNo
Pump Required: 2 es ❑ No ❑ be required based on final location and elevations of facilities
Type of Water Supply: El Community MaPublic ❑ Well Distance from well feet Permit valid for: C-Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: L/4 Date: J~ dot/ 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 requirementr. 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 Permiio
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 LOCATI N:
SUBDIVISION c.4;q LOT #
Facility Type: 2r New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ N
Type of Wastewater System**P ~-4 CQ'tt/e-,/t~ > c. (Initial) Wastewater Flow: GIRD
(See note below, if applicable 3f~c
e`' (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /00 0 gallons Exact length of each trench / ~0 feet Trench Spacing: ~ Feet on Center
Pump Tank Size ZOO 0 gallons Trenches shall be installed on contour at a Soil Cover: -y)- inches
Maximum Trench Depth of. f -;LQ 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 G inches below pipe
Aggregate Depth: YZ inches above pipe
Conditions: % 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 type specified is different from the type specified on the app/icatim / accept the specif1cations o/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 chance in ownershia of the site. This
construction Authorization is subject to compliance with the provisions of the Laws and Rules for rSSewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent+~.._ E't`► Date: 7
Construction Authorization Expiration Date: r X201
NTE# 67A = OV-7d. )t Permit # I c `1
Harnett County Department of Pablic Health
Site Sketch
t PROPERTY LOCATON: zip
ISSUED T0: _ ~ S'~ 1~ d vc .crn SUBDIVISION t.~ ,0 LOT # ~
c
Authorized State Agent: Date: Z 0 /t
it;
Y
134
f
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):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: [r] A ger ~Bori~ g ❑ Pit ❑ Cut
Type of Wastewater: (Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
.
OIL MORPHOLOGY
.1941
OTHER
'PROFILE FACTORS
E
#
j
Elx94
1
ture/
ure
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
)
.1956
Sapro
Clas
.1944
Restr
Profile
Class
~
.
s
Horiz
& LTAR
-7 C)-, -
~D~cJ~~J
3 08
OkIj-cj
"A I/L
Description
Initial
System
Re
pair System
Other Factors (.1946):
Site Classification (
1948)-/'r
Available S ace (.1945)
.
Evaluated B
:d
System T e(s)
s
Gl °
y
Others Present
Site LTAR
: