IPAC AND IPAC FOR REPAIRHarnett County Department of Public Health
Improvement Permit 26479
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: QyEttt~~tt_5 ~
ISSUED TO: arSll C.EEr1
o u ►N
SUBDIVISION LOT #
NEW.„
REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
M A NA ct n, E
Proposed Wastewater System Type: 'a57o REpUUSSo,N
5 -9 ~5 7 f-rxN
Projected Daily Flow:
GPD
Number of bedrooms:
Number of Occupants:
max
Basement ❑Yes
X No
Pump Required: ❑Yes
"K No
❑ May be required based on
final location and elevations of facilities
Type of Water Supply:
El Community
~ Public El Well
Distance from well \ r7U feet Permit valid for: ~ Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: 9--El1!5 Date: 3 1 101 I 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit holder islresponsib'le 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, .1957, .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: Y-~ ti i-S-& N 9b t--(nu PROPERTY LOCATION: 0 t=aw~LLs
SUBDIVISION LOT #
Facility Type: V~ t'+,.4 • 11-0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '51, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** ~-S"16 G~v~~ 0 N S ys~ Grp (Initial) Wastewater Flow: 3(~0 GPD
(See note below, if applicable _
P~}mP 1 v QS-/o ~-Eouc~.o~.t its . (Repair)
Installation Requirements/Conditions Number of trenches )
Septic Tank Size o(!!) o gallons Exact length of each trench \ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G `12 inches
Maximum Trench Depth of: \S`a 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: }r4G \4 t:I-- W , t^ L gF~ rd Q~t: ~2oPi t-`) ~wo3>J fD 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: l understand the system type specified is different from the type specifed on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re if the site plan lat, 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 subkZZkcompliance with.the pro ' of ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: i-~lts Date: 3
Constr ' n Authorization Expiration Date:
HTE# 5'4-6 135 Permit # 9
Harnett County Department of n iblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
r
r
Fv c~
1.', d t) s L=
I ~
PROPERTY LOCATON: C v
SUBDIVISION LOT #
C) 9
~D
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot 0:
SOII.JSITE EVALUATION File
ror ON-SITE WASTRWATER.SYSTEMz Code:
Owner. Applicant:
Address: Date Evaluated
Proposed Facilitr '10 DeAP Flow (.1949): 340,
Ptapcrtp size:
Locadoa of Sits: J~
Property Recorded. Watet Svpp[F , Public ® Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ pit Cut
Type of Wastewater. , Sewage ❑ Industrial Process Nxed.
P
it
O
F
SOU.MORPHOLOOY
OTHER
1 .1940
L I
d
H
.1941
PROF7L8 FACTORS
an
aeap~
orizon
11941
E Position/ Depth
Slope % (IM)
.1941 .1941
St
(
Sail
! $43 .1916 .190
ftme
tuallo
Colwdence
Ta~duere Mhmlo
Wetnad
Color
soil Sapro Re*
Clan!
IN. Clan Hail.
A LTAR
4 5- an/6
C
~k
c_3> k~~
s15~
-7 Q, 3
0->~~
C _j_
1
r~~. ~ i Sn i c~ ~ ~ la
Site classification (,1948X`"'
Evahated fly cs~
Others Present:
f'~J
e5 4
P__5
H T E # 9"C_-p" 2 Harnett County Department of Public Health
Improvement Permit 2 6 4 8 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: U V ES1:2\K _El
ISSUED T0: ~.c~'C~1 LEE->`t $ ~-et V t N SUBDIVISION LOT # T
NEW ❑ REPAIR, EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5)o S s,--S xoME
Proposed Wastewater System Type: Tp,rt~. QsreL~c*~~
Projected Daily Flow: 3b b GPD
Number of bedrooms: Number of Occupants: ro max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >t Public ❑ Well Distance from well t d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 3 N Q 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i e of other permits. The permit holde is res onsible 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: '%P \V)J_ F_ +-4 LC3y1nc
Facility Type: `nvGsl-C. '10 c'NE ❑ New
Basement? ❑ Yes 5k No Basement Fixtures? ❑ Yes
Type of Wastewater System** C-~e s-s r N C
(See note below if applicable
PROPERTY LOCATION:
SUBDIVISION LOT #
❑ Expansion Repair
No
(Initial) Wastewater Flow: 360 GPD
2-S-1/b 'R eS L)c to w En (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size i QC C gallons Exact length of each trench
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of:
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: 7P'" `L 9.
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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 specified is different from the type specified an the app/ication. I accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rev 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 wi tthe p ns . Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constru ^ Authorization Expiration Date:
HTE# Permit # a~0
Harnett County Department of I-Niblic Health
Site Sketch
PROPERTY LOCATON: O v Ea-t," ),L L s
ISSUED TO: 1`~ e~,~rl t .arc ~ a U) N SUBDIVISION LOT #
Authorized State Agent: QI=>l5 ~0b2'~ OLY-spG(tF)- Date: 3' 14~1~
C? ~1 G2>-11 LLS Q,,Q