IPAC RHTE#,/,/ S - ~7 Harnett County Department of Public Health
Improvement Permit 2 6 8 0 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:f,.Lv'16
7 l~s~i3
ISSUED TO:SUBDIVISION LOT #
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Z
Proposed Wastewater System Type: 2~1, v g
Projected Daily Flow: GPD
Number of bedrooms: zt Number of Occupants: max
Basement ❑Yes Cpl
Pump Required: ❑Yes ❑ No Z Ma . be required " on final location and elevations of facilities
Type of Water Supply: El Community Public Lf Well Distance from well feet Permit valid for: Five years
Permit conditions: Jem. a 4-t, 4'lnCr,2 7® C:= ❑ No expiration
Authorized State Age ~ Date: / SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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..
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: e PROPERTY LOCATION: 2 r7 IV4~614--IYZ4 ,
SUBDIVISION LOT #
Facility Type: )
1New ❑ Expansion ❑
Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E~ No
Type of Wastewater System** 74-;0/, 43 t
?~Pti+ tS~,-.-
(Initial) Wastewater Flow: _ ca GPD
(See note below, if applicable
Installation Requirements/Conditions
Number of trenches .3
Septic Tank Size 1.24.)0 gallons
_
Exact length of each trench t
feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: ( inches
Maximum Trench Depth of. ZZ ) /8
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
- inches below pipe
Aggregate Depth: Z. inches above pipe
Conditions: r F h hrt ww
~rl ,i 61~ Ste I-
>Z. 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 spec/fled is different from the type speciTed 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 chance in ownershia 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 Ag : f` Date:
Construction Authorization Expiration Date: / -3- t-7
HTE# Permit # 2-f~--~rl
arnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: t3--1102 Ab
ISSUED TO: 9qAZR 1-11SUBDIVISION LOT #
a ~~q
Authorized State Agent< l Y Date: ! - 1 L.
7+-t I
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75TL.1"70°r2' R-0
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Department of Environment; Health and Natural Resources x
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE Code:
WASTEWATER SYSTEM
Owner: Applicant.
Address: Date E
l
va
uated
Proposed Facility. SCI
Design Flow (.1949): y8D
Location of Site: joi _ N
Pro
perty Size:
Water Supply; Property Recorded:
b
P
u
lic❑ Individual ❑ Well
Evaluation Method:,_., _ CJ
er$
!1Aa
"
❑ Spring'
g
o
❑ Pit '
Type of Wastewater: ra
❑ Cut
ge ❑ Industrial Proce
ss
❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1 .1940
1941
L Landscape Horizon
PROF
E Position/ Depth
# Slope % 1941 .1941
19
Soil
l
Stricture) Consistence
Wetaess/
Texture Mineralogy
Color
I
1 L z, a sZ
2 L z 02,
a- Jo
3 j z~b -7 s
.`7 5L
7 - z 5 -cc
3q-31-
Initial Repair System Other Factors (.1946):
S ste Site Classification (a 948): "
Evaluated By.
Others Present:
❑ Other
OTHER
[LE FAC
.1943
Soil
1956 .1944 I Profile
apro Restr Class
;lass Horiz & LTA
.H
-3l
,