IPAC RRRHTE# Q-1_Harnett County Department of Public Health
Improvement Permit 2 6 8 9 3
A building permit cannot be issued with only an _Improvement Permit
PROPERTY LOCATION: 1 s N >v Q D
ISSUED T0: rn~ct. ~c.P~H ~`1a c-~- M ti"CN:N' SUBDIVISION LOT # 3~7
NEW X REPAII❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~ J G~'t
Proposed Wastewater System Type: ml o CZ ,E "Jc,' \'l N
Projected Daily Flow: 'a6 o GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X, No
Pump Required: ❑Yes El No May be required based on final location and elevations of facilities
Type of Water Supply: El Community ~ Public ❑ Well Distance from well 0 O C~ feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: Q-I S® t 1--). SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua o they permits. The permit holder is respo Bible 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 Improvem it 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 T0:~LSa~ PROPERTY LOCATION:
SUBDIVISION hl,-50 N5 LOT #
Facility Type: s~-p(~~ x>~v1J New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes I o
Type of Wastewater System** ® v a- k 0 av t' S r-M (Initial) Wastewater Flow: GPD
(See note below, if applicable
*Je )-kF,0V G;~ 0 N S-J Fm (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size y(OcKJ gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: ("'.1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specired is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Sig re: Date:
This Construction Authorization is subject to revocation i e Ian, p 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 kpr04-' a Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1
Construction orization Expiration Date:
ic
HTE# Off- v -1"~1~-130 QC2 Permit #
Harnett County Department of IN- blic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON:
SUBDIVISION PAZ>O ~s p 11 LOT # ~
5 O~~ 1E Date:~)011a
15(:),
~ ~ F'-5~) GAz~$62 EJ ci
Department of Environment; Health and Natural Resources
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATE Code:
R SYSTEM
Owner: Applicant:
Address: Date Evaluated: l
Proposed Facility.3 GG6%1~gZ Design Flow (.1949): Sbq t Property Size:
Location of Site: Property Recorded: Y
Water Supply: ublic❑ Individual E3 Well
Evaluation Methodtlug Bo ng ❑ pit El Spring
Type of Wastewater: Sewa e ❑ Cut
g ❑ Industrial Process Mixed
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941
L Landscape Horizon PROF
oil
E Position/ Depth .1941 1942
Slo
# pe Structure/ 1941 Soil
Consistence Wetness/
Texture Mineralo Color
G-~ yPz N%5
1 C't
Initial Rep it System Other Factors (1946):
S stem Site Classification (.1948): Q
~sl-- Evaluated By: r 3
Others Present:
❑ Other
OTHER
ILE FAC
.1943
Soil
.1956 .1944 Profile
Sapro Restr Class
Class Horiz & LTAR
'es