IPAC RHTE#. -.5'- z- u R Harnett County Department of Public Health
hDrovement Permit 2 6 5 3 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I
ISSUED T 0 .Z/~ _ SUBDIVISION ~i /".Z LOT # T
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ?
Proposed Wastewater System Type: °23-26
Projected Daily Flow: i(;& GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: es ❑ No ❑ MM,aY°be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community lX Public El Well Distance from well feet Permit valid for: EF Five years
Permit conditions: ❑ No expiration
Authorized State A nt:: Date: _ - Z~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the~lealth 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..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: /-Ay,0--, 1:~- C PROPERTY LOCATION: ~-V- HVS "
L° SUBDIVISION Si -i... a-Z LOT #
Facility Type: ~J 2( New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2*"No Basement Fixtures? ❑ Yes 2"No
Type of Wastewater System** j --ke-. G~ ~ j~f~U C A LT S itial) Wastewater Flow: ^ GPD
(See note below, if applicable
Z5% A-OJCLAVat~-
Installation Requirements/Conditions Number of trenches
Septic Tank Size 100C> gallons Exact length of each trench 9,6 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
d I Maximum Trench Depth of- 2&-) 1 inches
3 (Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
7 inches above pipe
Z inches total
WATER LINES (IN(LUDING 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 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 compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State nt: Date: 16) 1
Construction ~Authori&zatin oExpiration Date: Icy
HTE# f~ -5 5 (G K Permit # ~
Harnett County Department of iblic Health
Site Sketch
PROPERTY LOCATON: 4yg Tll~~hi`~,d
ISSUED TO: SUBDIVISION LOT #
Authorized State Ag Dater
fi
V 10 VAS
/
~ 1,,%4ee,
:5fb
c
Io,
r
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:2~~~~ 1(v ~C
Address: Date Evaluated: 6
Proposed Facility: Design Flow (.1 ~49):
Location of Site:
?Pu Prop erty Recorded:
Water Supply: blic❑ Individual ❑ Well
Evaluation Method: [Auger B ng ❑ 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
E
#
OIL MORPHOLOGY
.1940
Landscape Horizon .1941
Position/ Depth .1941 .1941
Slope % (In.) Structure/ Consistence
Texture Mineralo
THER
.1942 PROFILE FACT
Soil .1943
Wetness/
Soil
Color D th IN.
RS
.1956
Sapro
Class
str Profile .1944
Restr Class
Horiz & LTAR
Description
Available S ace .1945)
S stem T e(s)
Site LTAR
Initial Repair System Other Factors (.1946):
S se Site Classification (.1948):Q
Evaluated By-
t `
5 Y Others Present:
w u