IPAC RHTE# 2. Harnett County Department of Public Health
hDrovement Permit 2 6 8 9 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: ~Y c-t r4 (710 N 'SCZ yC--s t C~ N SUBDIVISION Cpc~f r2 LOT #
NEW>7 REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: (4a» x',7 - J
Proposed Wastewater System Type: /e, jc<i o,a 'Sjs-NPrA
Projected Daily Flow: 39(7) GPD
Number of bedrooms: 3 Number of Occupants: _ Sc max
Basement ❑Yes XNo
Pump Required: ❑Yes "::K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: munity Public ❑ Well Distance from well 10CO feet Permit valid for: the years
Permit conditions: \ ❑ No expiration
Authorized State Agent:: wz:~Nb Date: ; ')L4 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departmen in no way guarantees the iss of other permits. The permit holder is t 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 Impro ent 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: 'I -sN Maras-sn,Uc,;\ oTA PROPERTY LOCATION: 1At=s ~-*S
SUBDIVISION Coc,PC-~. ~pctrc~.s LOT # 3S
Facility Type: S O New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XIN o
Type of Wastewater System** 'tb art- vc~~ou ~yS> ~Pn (Initial) Wastewater Flow: GPD
(See note below, if applicable
L Pe (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 000 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. D~ 3~- inches
(Trench bottoms shall be level to +/-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)
inches below pipe
Aggregate Depth: inches above pipe
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. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is sublet ,cation a 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 into comp a wi r ions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: Z
onstruction Authorization Expiration Date:
HTE # Permit # c `k
Harnett County epartment of N-tblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: 1~ c 1--h1
_ SUBDIVISION Goo9sy- N'v,5 LOT # 3~5
LC)N15 ~ i,)y Ee2 0LY-6W ate:
i is-3 A
I&
yS,
°T* LA
Department of Environment; Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated: 1 )
Proposed Facili
h' 9 131 )a_
3~Q Design Flow (.1949): ~ 6 c a Property Size:
Location of Site: Property Recorded: ~
Water Supply; Public❑ Individual ❑ Well
uger Boring ❑ Spring ❑ Other
Evaluation Meth
oo~
❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
0
F SOIL MORPHOLOGY OTHER
I .1940
L Landscape Horizon .1941 .1942 PROFILE FACTORS
E Position/ Depth .1941 .1941 Soil
# Slope % (In.) Structure/ Consistence Wetness/ Soil .1956 .1944 Profile .1943
Texture Mineralo Soil Sapro Restr Class
Color D th IN. Class Horiz & LTAR
r 4,
Description Initial Re air System Other Factors (.1946):
Available Space .1945) S Ste Site Classification (.1948): fs S in T s) Evaluated B
t"1~2GrJ tiP4 y:
Site LTAR Others Present:
.h