IPAC-RepairHTE# Harnett County Department of Public Health
Imurovement Permit 2 6 5 0 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: ft i _ SUBDIVISION / LOT #
NEW I-] REPAIR ~ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Ir'c 51% 4'a 0 R-Le,40
Proposed Wastewater System Type: T i
Projected Daily Flow: _ Z Z-5- GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes o
Pump Required: es ❑ No ❑ Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. 0- Five years
Permit conditions: _ _ _ - ❑ No expiration
Authorized State Agent _ L Date: 5-51-11 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit_
Construction Authorization
(Required for Building Permio
The construction and installation requirements of Rules .1950, .1952, .t954, .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:2 ~ I &Zlj- 3 r1_4 'Jl PROPERTY LOCATION: /6!f &J
SUBDIVISION LOT #
Facility Type: ' 5 6 ❑ New Expansion Repair
Basement? ❑ Yes 12" No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System** (Initial) Wastewater flow: -.2 a'T- GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches ~3
Septic Tank Size /000 gallons Exact length of each trench &0 % feet Trench Spacing: feet on Center
Pump Tank Size /000 gallons Trenches shall be installed on contour. at a Soil Cover. inches
Maximum Trench Depth of. ZY" 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 - t~ inches below pipe
Aggregate Depth: 'Z- inches above pipe
Conditions: OV-6-r - V_r) Is Lrr, yal,t c~I.. E o T-lasr - O l,Z 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 specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorsation is subject to revocation 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 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: S "31-11
Construction Authorization Expiration Date: S -31- f(4
HTE# Permit # G'&is-d
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:~~)Ut Vi1
ISSUED T0: /''~Y SUBDIVSION LOT #
Authorized State Ag Date:" 3 - t
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Department of Environinent, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOLUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
(honer. Applicant: la-Z-
Address: Date Evaluated$-/-~-/g Z1'" Zd - 3l
Proposed Facility: Mr-(""'"~ Design Flow (.1949): 2-2j-, zs „cam Property Size:
Location of Site: perty Recorded: 15-
Water Water Supply: b 'c Individual Well ❑ Spring ❑ Other
Evaluation Method: H~AugerBoring ❑ Pit ❑ Cut
Type of Wastewater: Ej-Wm❑ Industrial Process ❑ Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope °A
Horizon
Depth
(Lt)
.1941
Structure!
Texture
.1941
Consistence
Mineralo
.1942
soil
Wetness/
color
.1943
soil
Dq& IN.
.1936
Sapro
Clara
.1944
Rests
Horn
Profile
Glass
do LTAR
f
0-36
Sti
a&460-0
30
m
y p"•
f
Q
L5
o-3a
c
76 -
216 k-5
L 5r%
° '`Z
S(,
C1LI~S ~
c
S
° zo
57-,
laic 6,c..,x1 f)d 6'
L5-
v
SL
6n ,~s>u{~
Mf-Y 2,
94-
-V2
Description ltutial Repair System Other Factors (.1946):
system Site Classification (.1948): 5
Available S ace .1943 Evaluated By:
System Type(s) u-' Others Present: