IPAC RHTE# ZCQ 01z Harnett County Department of Public Health
hDrovement Permit 2 6 4 3 7
A building permit cannot be issued with only an Improvement Permit
J PROPERTY LOCATION: 5Z Z(X- r r e /k- t t t
ISSUED TO- I H)" by SUBDIVISION Gtr 41els k'z-_ LOT # ~t Z
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: n
Proposed Wastewater System Type: 725%, tZ -v~t% t c ry
Projected Daily Flow:u GPD
Number of bedrooms: Number of Occupants: 9 max
Basement ❑Yes No
Pump Required: es ❑ No ❑ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community - Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: - c f Wit. ❑ No expiration
Authorized State Agen c~ 111'4 v Date: 3-- 30- SEE ATTACHED SITE SKETCH
The issuance of this permit by4 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. J
ISSUED T0: l~ U tdt PROPERTY LOCATION: 5yt ?CV5 i~rc rc,L~c i'k.r LJ f?ah
SUBDIVISION &A6,24-,-t LOT
Facility Type: fK-b tb. EZ New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes a No
Type of Wastewater System** Lf % I i)tli (Initial) Wastewater Flow: GPD
(See note below, if applicable
~b Zt o fZQ-) 0 j-10) (Repair)
Installation Requirements/Conditions Number of trenches I-
Septic Tank Size /000 gallons Exact length of each trench 300 feet Trench Spacing: ~ Feet on Center
Pump Tank Size i0°00 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Z4 " 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 (7 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 specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site olan. olat. 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 with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Kuthirized State Ag Date: J 30 ` 1 I
Construction Authorization Expiration Date: 3 --3L Ito
H T E # ~ - fly rZ Permit # a y`' 7
Harnett County Department of ~iblie Health
Site Sketch
i4-c
D(L
Depal tnent of Environment Health and Natural Resources Sheet:
Division of Environmental Health Property >D:
On-Site Wastewater Section Lot e
SOILJSITE EVALUATION File IA:
Code:
for ON-SITE WASTEVYATER SYSTEM;
Owner. Applicant:I6,✓~
Address: Date Evaluated: 5- f
Promw Facility: Dcd p Flow (.1949): 3 &e> Property Size:
Locadon of Site. ftPertY Recorded:
Watet Suppty lio ® Individual [I Well
❑ Spring ❑ Other
Evaluadon Met a- at"ger Boring ❑ pit Cut.
Type of Wasrtmater Sewage ❑ Industrial Process mixed.
P
R
O
F
SOIL MORPHOLOGY
OTHER
1 .1940
.1941
PROFtL6 PAR'COR3
mp
Horizon
.1941
E Posi
9 Slope %
DPd
UQ
.1941 .1941
sk
w
sail .1543 .1916 .1944
Pro&
ucho
Corwdwm
Wetness/ Soil Sspre
Reahr
CtaN
Terdram Minaralo
Color ILY. CIA"
Horiz.
LIAR
" ~
~ t rL13f
2-5
HE
-
L-T
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-.2c,
u °
5
SL
yf t Aron
,SF's
` Z5-,r3
j
L YL S~ t"_„j' v+
Pdon law Repair System Other Factors (.1446)
S °t0f° Site Classi6cadon (.1948)
tvaila6la S ea .194!
,tmo s ` Evaluated By
h. LTAA d 5 ` S Others Present:
fi7