IPAC RHTE# 1 a-- �'�`� C-N9--. Harnett County Department of Public Health
Improvement Permit 27167
A building permit cannot be issued with only an Improvement Permit n
PROPERTY LOCATION: SPct. >�G�>>f.. C- �c >Vn,G� \iizl
ISSUED TO: acs U hr SUBDIVISION °° LOT # a
NEW REPAIR ❑ EXP?�ON El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V) <30
s
Proposed Wastewater System Type: —'�S Yri RC—DUc.'S,pc!
Projected Daily Flow: 3 Co ® GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Ilkay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t b 0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: I0 1 i4 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss uof other permits. The permit holder is 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.
ISSUED TO: C .Qlj r-r-2`1 ��tz.� —i V S"s-5 PROPERTY LOCATION: JP2,» G iV NLL Q-r Ax) %cm
SUBDIVISION LOT #.
Facility Type: �iQ O C3�t' �S—y1�, New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
No
Type of Wastewater System ** a 11 0 N SyS -75 (Initial) Wastewater Flow: _-�4 G GPD
(See note below, if applicable ❑)
F �1411_ (Repair)
Installation Requirements /Conditions Number of trenches `-i
Septic Tank Size ti 0 Q o gallons Exact length of each trench 1 a feet Trench Spacing: �_ Feet on Center
Pump Tank Size ado d gallons Trenches shall be installed on contour at a Soil Cover: (�3 inches
Maximum Trench Depth of: A 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
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
* *If applicable: / understand the system type specified is different from the type specified on the app lication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is suhiect to revocation if the site plan. Dial, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownershin of the site. This
Construction Authorization is 45Lto compli the provis of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
[Authorized State Date: i C 1-a -a
uction Authorization Expiration Date: 10 1):) U
HTE # )-3-- ° ��''1 ��� rL Permit # aO 16
Authorized State Agent: N-,��— N��- � VL)J
�IZ0
CI
Date:
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 9
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: /Public❑ Individual ❑ Well
Evaluation Method Auger B ng ❑Pit ❑cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
—
OTHER
'PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
AlfAl,/`7
fJ
a -;
0- 12,
C-
v
96
S*difG
t
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Textu
.1941
Consistence
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
/re(
/Mineralogy
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space(. 1945)
System Type(s)
Site LTAR
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:[
Type of Wastewater:
Date Evaluated:
Design Flow (.1949):
Property Recorded:
❑ Public❑ Individual ❑ Well
Auger Boring ❑ Pit ❑ Cut
❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(hi.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
13 �I
5q (fL
f
/ a /'Cp
/Z_j
U ntf�/P
U -YO
/
J6 --X-
/J-��
c'
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR