IPAC RHTE #I -S- Q Harnett County Department of Public Health
Improvement Permit 2% 447
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ',AreN
ISSUED TO: ����t �^� SUBDIVISION PN-iio 3s Pc)I0 -i LOT # �3
NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S V S�:�fo��
Proposed Wastewater System Type: rg
ue 1 c ®o cy\xV �\Ov'�
Projected Daily Flow: 3F,® GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
Pump Required%TgYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10 O feet
Permit conditions: �.
Permit valid for:
AFive years
❑ No expiration
Authorized State Agent:: Date: E ;IQ13 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder is responsible 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..
The construction and installation requirements of Rules .1950, .1952, .1954, .1955,
with the attached system layout.
ISSUED TO: CZ PTc _ Lvc.�,S
Construction Authorization
(Required for Building Permit)
.1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
PROPERTY LOCATION: I L6N
� � SUBDIVISION i?fi01,) -1 ats,Si LOT # 3
1
Facilitv Tvne' �� New n Fxnansinn F1 Renoir
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System ** 90 >1 Wto vGNl U �S � "15 7 Gar (Initial) Wastewater Flow: 3�� GPD
(See note below, if applicable ❑) /
pq c�o S ®Ca U� 1 a� (Repair)
Installation Requirements /Conditions Number of trenches 6
Septic Tank Size Y zD c1 gallons Exact length of each trench feet Trench Spacing: 1 Feet on Center
Pump Tank Size L6®() gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: d,q 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: CIPNN 'XLOA F_ 14T-a. QjzR 2-7 1°l \4 6- " 100 L *N G , inches total
3' Q tz-y
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 speciped is different from the type speciped on the app /icatiom / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization— issubiect to revocation if the site olan. olat. or the intended use changes. The Construction Authorization shall not be transferred when there is a chancre in ownershin of the site. This
Construction Authorization is s o compliant ns ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
F[Authorized State Agent: Date: — .6 _
Construction Authorization Expiration Date: I t 7y
HTE#
Permit #
flaxnett County Dep"I'l-fillellt of fltlblic He(alth
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION PMo A f, Q( I T7 LOT
Authorized State Agent: 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: 1
Proposed Facility: 3-9&q5"') 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/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN .)
.1956
Sapro
Class
.1944
Restr
Horiz
la
x S_z
V-a ss /w
YS
C z'
)v)Y
SCaL
5(1)
15
G L5
Description
Initial
system
Repair System
Other Factors (.1946): '�w� I a
Site Classification (.1948): QS
Evaluated By:,O -t
Others Present: tj 0 0 1)F-
Available Space( 1945)
System Type(s)
Site LTAR
b
Fit �FZtul Lrti�� p'�„cn 3j�
plo
1,12