IPAC RHTE#iS -s 35z�i/ZHarnett County Department of Public Health 28584
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
Authorized State ems, / %-9 L _�`�`� Date: ir/- 3 -/ 5 SEE ATTACHED SITE SKETCH
The issuance of this permit j f e Health Department in no war the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m cevocam 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, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accardance
with the attached system layout
ISSUED TO: AAt& fW� PROPERTY LOCATION7'J<.4?rA--L:-
SUBDIVISION 3LOT # 6—
Facility Type: z d EYRew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 21(0
Type of Wastewater System** 7 S°le /iZr,_ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
zs- a iZ4 G0�iSS (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size A�db gallons Exact length of each trench eoo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Z 11 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Trench Spacing: feet on Center
Soil Cover. —i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
Ginches below pipe
Z inches above pipe
/Z- inches total
=Ifd the sFtem type specified is different from the type speciled on theapp/kation. / acrept the spedb z6v r of this permit.e Signature: Date:
This Construction Authorization is subject to revocation if the sire pian, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is subject m 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 A Date: 1/- 3 - is -
1. Construction
s—
Construction Authorization Expiration Date: t / - 3 - 2cb
PROPERTY LOCATION
ISSUED TO: K
/
SUBDIVISION -LJN"5 LOT #
NEW Q
REPAIR ❑
EXPANSION ❑
Site Improvemena required prior to Construction Authorization Issuance:
Type of Structure:
A6 I
"
Proposed Wastewater System Type: JS":W4y61lGrZ�)
Projected Daily Flow:
3 Ce o
GPD
Number of bedrooms:
-1T
Number of Occupants:
max
Basement ❑Yes
E210
Pump Required: []Yes
❑ NoL�I'Ma
a required based on
final location and elevations of facilities
Type of Water Supply:
El Community
Public ❑ Well
Distance from well feet Permit valid for. ES Five years
Permit conditions:
❑ No expiration
Authorized State ems, / %-9 L _�`�`� Date: ir/- 3 -/ 5 SEE ATTACHED SITE SKETCH
The issuance of this permit j f e Health Department in no war the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m cevocam 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, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accardance
with the attached system layout
ISSUED TO: AAt& fW� PROPERTY LOCATION7'J<.4?rA--L:-
SUBDIVISION 3LOT # 6—
Facility Type: z d EYRew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 21(0
Type of Wastewater System** 7 S°le /iZr,_ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
zs- a iZ4 G0�iSS (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size A�db gallons Exact length of each trench eoo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Z 11 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Trench Spacing: feet on Center
Soil Cover. —i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
Ginches below pipe
Z inches above pipe
/Z- inches total
=Ifd the sFtem type specified is different from the type speciled on theapp/kation. / acrept the spedb z6v r of this permit.e Signature: Date:
This Construction Authorization is subject to revocation if the sire pian, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is subject m 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 A Date: 1/- 3 - is -
1. Construction
s—
Construction Authorization Expiration Date: t / - 3 - 2cb
HTE# /5 - S-3`SZ99R
Permit # 2�58`l
Harnett County Department of Public Health
Site Sketch
,�j�,� / PROPERTY LOCATON: nx1gZe.&jc %� Jo ttS
ISSUED TO: � ` /�� / SUBDIVISION J-3 f� .Qs LOT #
Authorized State r r� �1
�0
ent Date: 3 - / J �
'pw N C D
1
T
� 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: I (—L
Proposed Facility: Design Flow (.1949):3laD
Location of Site: Property Recorded:
Water Supply: EPublic❑ Individual ❑ Well
Evaluation Method:❑eAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: [Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
Minenflogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Jam.
8
«
J 53�c SSG
4 4 rl-I'tr`7
r-31-�_�
Description Initial Repair System Other Factors (.1946): {�
System Site Classification (.1948):1
Available Space (.1945) Evaluated B
System Type(s) Others Present:
Site LTAR