IPAC RHTE# sz /2.- Harnett County Department of Public Health
Imurovement Permit 27364
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:S/O 5/7 z' ,
ISSUED TO: I y?,A) 4 &-,y5 SUBDIVISION 0 LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z% rZ}ti2 Projected Daily Daily Flow: 3 i GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes ZIN o �,
Pump Required: ❑Yes 11 No L7�Mayy required based on final location and elevations of facilities
Type of Water Supply: El Community L Public ❑ Well Distance from well feet Permit valid for Five years
Permit conditions: 41 .? 9 i ❑ No expiration
Authorized State Ag t:: f2 Date: 15 — 40 77 :> SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 a 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: �ti° t�lL y PROPERTY LOCATION: 5 1 7
SUBDIVISION 0 ULOT #
Facility Type: i� E2 " „ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2"No Basement Fixtures? ❑ Yes 2.1 o
Type of Wastewater System ** (Initial) Wastewater Flow: 3&0 GPD
(See note below, if applicable ❑)
'7V16 J?n &3 % , — (Repair)
Installation Requirements /Conditions Wumber of trenches 5
Septic Tank Size 166 D gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at Soil Cover:_ inches
Maximum Trench Depth of: e'A)19 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:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
�2 inches above pipe
inches total
* *If applicable: l understand the system type speciled is different from the type speciled on the application. / accept the specilcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dlan. Dlat. or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershio 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 Age ate: 3
Construction Authorization Expiration Date: ° I
P-5
HTE#
H.,trilett Col-tiltv
Permit # -2 -7-36
I)ep,,,I.tlllellt Of Public Hetalth
Site hetch
Authorized State Ag
4,
aQ /,!5-q 7
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant: f 2t_�
Address: Date Evaluated: ° /S Z� ^ g V43
Proposed Facility:
5 F-61 Design Flow(. 1949): }� ( Property Size:
Location of Site: Property Recorded:
Water Supply: [Public❑ Individual ❑ Well ❑ Spring
Evaluation Method: ET Auger B ng r-1 Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ 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/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN .)
.1956
Sapro
Class
.1944
Restr
Horiz
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L%
Ca Z
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IS
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6-31
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Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: }
Others Present:
Available Space (.1945)
System T e(s)
L ?;5/ . z
Site LTAR
z 5 ".