IPAC RHTE# I~ Harnett County Department of Public Health
Improvement Permit 2 6 4 2 4
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: <y%~3
ISSUED TO- 1 SUBDIVISION , LOT #
NEW d REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: b0 M"
Proposed Wastewater System Ty e:%,a`
Projected Daily Flow: a GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes L1 No
Pump Required: ❑Yes ❑ No Ire required based on final location and elevations of facilities
Type of Water Supply: ❑ Community blic ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Ager -a Date: :3 7A) - SEE ATTACHED SITE SKETCH
The issuance of this permit by✓ 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: PROPERTY LOCATION: K /5 C/5 C/
SUBDIVISION __572,3 LOT # 5
Facility Type: to)% New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? Yes ENo
Type of Wastewater System** (Initial) Wastewater Flow: J60 GPD
(See note below, if applicable
& / 46- (Repair)
Installation Requirements/Conditions Number of tr nches
Septic Tank Size gallons Exact length of each trench 60 feet Trench Spacing: C7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4- 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
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified is different from the type specified on the application. / accept the speciflcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a rhanue in nwnor<hin of rho tiro Thi,
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 Date: 3 {Q 1
Construction Authorization Expiration Date: 2 ^-j0
" 1
HTE# //--5 26/ 6 (go /e-
Permit
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:~/5 5y
ISSUED TO: SUBDIVISION S LOT #
Authorized State AgJ Date: ,
Department of Environment
Health and Natural Resources
,
Division of Environmental Health
Shed:
Orr-Site Wastewater Section
Property ID:
Lot
SOILISITE EVALUATION
File N:
for ON-SITE WASTEWATERSYSTEM~
Code:
Owner. Applicant;
Address;'. Date Evaluated: 5-'7 t~
Proposed Facility; Design Flow (.1949):: v
Property Size:
Location of Site: Ftnperty Recorded:
Watelt Supply; ❑~blic ❑ lrldividual ❑ Well
~
❑ Spring
❑ Other
Evaluation Method: ❑
Auger Boring ❑ Pit
Q4.
Type of Wastewater. ❑ Sewage ❑ industrial Process
Mixed.
P
it
O
P SOIL MORPHOLOGY
OTHE
1 .1940 .1941
L Landt+capr Rana
R
PROFfLB F,LG*COR3
1941
9 Positlod Depth .1941 .1941 Soil
N Slope % (!n.) Structure Colwdeaq Wets d
.1043
.1956 .1944
haft
Texture Mtnenlo Color
soil
M
SAPM ft*
C1ase Hods.
CIA"
A LTAR
'Y) 51 ,t.e4IV5.4jr
n
L.
3 Z L
~
S . L ,5v .
Other Factors (.1946k
Site Classification (.1948X -f
Evaluated By:
Others PresentL.