IPAC RHTE# 13' 3DS-1l Harnett County Department of Public Health
Improvement Permit 27432
A building permit cannot be issued with only an Improvement Permit
c PROPERTY LOCATION: i-Z CQ®t N(
ISSUED TO: �N�-�� t , b� J � coA SUBDIVISION LOT #
NEWX REPAIR ❑ 17 NSION ❑
Type of Structure: E5v—Q
Proposed Wastewater System Type: aS °�� '6sovcxo 6'-)
Projected Daily Flow: �® GPD
Number of bedrooms: Number of Occupants: max
Basement [--]Yes XNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes o ❑May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10 0 feet
Permit conditions: — --- -_
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:: 7 ��� ��` Date: 4 Ja)� � - SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f other permits. The permit holders respo ible 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 Improves Permit shall not he 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..
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 specired is different from the type specifled on the application. / accept the specifications of this permit
Owner /Legal Representative Signature:
Date:
This Construction Authoriz is subject to revocation if the si Ian, 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 subje to comp) fce�Wtfrtlt�p�ovismi a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: v Date: w�
Construe uthorization Expiration Date: y
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 T0:
PROPERTY LOCATION:
SUBDIVISION
Facility Type: fl `Y° '"� a- New ❑ Expansion ❑ Repair
LOT #
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes No
Type of Wastewater System **
2QS0) o V-.C--T2>yG \0 Nl s -)5— G
(Initial) Wastewater Flow: Q GPO
(See note below, if applicable ❑)
j
RUC- ' 6 '2-6.oyC51i Oaf (Repair)
Installation Requirements/Conditions Number of trenches 3
D
Septic Tank Size L 0
gallons Exact length of each trench S feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a
Soil (over: GTE inches
Maximum Trench Depth of: 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: inches above pipe
Conditions: 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 specired is different from the type specifled on the application. / accept the specifications of this permit
Owner /Legal Representative Signature:
Date:
This Construction Authoriz is subject to revocation if the si Ian, 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 subje to comp) fce�Wtfrtlt�p�ovismi a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: v Date: w�
Construe uthorization Expiration Date: y
HTE # 13— 5 30SD I R
ISSUED TO:
Authorized State Agent:
Permit # QC,'-4-6
Harnett County Depai-tinent of Public Health
Site Sketch
PROPERTY LO(ATON: N 2--Tv4
SUBDIVISION LOT
0 L1.q 01-) <- 5,2) 0 (F
0 1
Date: L4 )
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: [3'Public❑ Individual ❑ Well
Evaluation Method:DAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: (l Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
I & LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN .)
.1956
Sapro
Class
.1944
Restr
Horiz
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6 -12_
C,1 5-L
OVA &f
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V,e
Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR