IPAC RRHTE#0-1-5- `Harnett County Department of Public Health
Improvement Permit 2 6 8 9 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 t4c,64
ISSUED TO: ~ch~,SL~ ,y ~1V H SUBDIVISION ?1;1, Q 4--5 o1-3- LOT #
NEW L~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 iz~Q (L,.% ^'K3 lD
Proposed Wastewater System Type: aS'I- ~b vvc ci *a
Projected Daily Flow: 3 O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 'ei~r, No
Pump Required: ❑Yes ❑ No -'A May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'NZPublic ❑ Well Distance from well eO Q feet Permit valid for Five years
Permit conditions: 'tea ❑ No expiration
Authorized State Agent:: Qrcl Date: '11*8 11'-+ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of othe egniu. The permit holder is r sponsible 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 ss I 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: ~k mra c,tA~, ~40mf--SM~~&1 PROPERTY LOCATION:
SUBDIVISION pg'~G NS Pdl N-7 LOT #
Facility Type: a c0 3 l~ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 't~ld " No
Type of Wastewater System** 2.S'"1 Q RE~D 0C ' , p N Sy : ; G~ (Initial) Wastewater Flow: GPD
(See note below, if applicable _
PUnp \0 aVS °~o ~G-~~c;► o.>,+ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench t S`0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (a- inches
Maximum Trench Depth of: S1 ' 3® 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.
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
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 app/ication. /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su ' evocation 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 issu 'ect to compliant wits hdpcg iions o~ Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
GPM
Authorized State Agent: Date: ~ Y),
Constructlo thorization Expiration Date: 2,
~
HTE # Permit # ~ i;, ~8 Cif
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON: 1 rsGC.
ISSUED T0: -<2. ~l0,6s \51-1 SUBDIVISION 4~~~oNS po~~i LOT #
Authorized State Agent: Date: a 1 Er 1
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Department of Environment; Health and Natural Resources
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
Code:
for ON-SITE WASTEWT
AER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 C¢'(,pcyt)O
Design Flow (.1949): 3bd
P
Location of Site:
Property
Property Recorded:
roperty Size:
Water Supply:
Individual ❑ Well
Evaluation Method,Au
❑Spring ❑ Other
g ❑ pit
Type of Wastewater: ❑ Cut
Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I 1940
OTHER
.1941
L Landscape Horizon
PROFILE FACTORS
E Position/ Depth 1941 .1941
# Slop, %
(In.) Structure/ Consistenc
•1942
Soil
.1943 .1956
e
Texture Mineralo
Wetness/ Soil
Color D Sapro
Cl
.1944 Profile
Restr Class
ass
Horiz & LTAR
Q_
4"L6 Cs s
$ 'IT
AR
G IM S6) W
Initial Repair System Other Factors (.1946):
S Ste Site Classification (.1948)
Vr~ Evaluated By
® 5 Others Present:
Ss4