IPAC RHTE #il� = 3 2,RJJ Harnett County Department of Public Health
27732
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
p PROPERTY LOCATION: yhrdT c9 ,,T
ISSUED TO: SUBDIVISION '� LOT #
NEW REPAIR ❑� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:3'�
Proposed Wastewater System Type: ��tlkt
Projected Daily Flow: is GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pum p Required: ❑Yes El No EAa q e required bad on final location and elevations of facilities
Type of Water Supply: ❑ Community 0 Public 2 Well Distance from well feet Permit valid for: E2 -rive years
Permit conditions: ❑ No expiration
s. it
Authorized State Agent" ' %�l''( /C +try Date: 3 " 4 " / SEE ATTACHED SITE SKETCH
The issuance of this permit by th �alth 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 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 T0:
�- r R� PROPERTY LOCATION: ail %z jtZ r: s` #— C.
Facility Type:
SUBDIVISION
_ EY New ❑ Expansion ❑ Repair
LOT #
Basement? ❑ Yes No Basement
Fixtures? _❑ Yes E? o
Type of Wastewater System* 7-5%,
I* " �
(Initial) Wastewater Flow: L GPD
(See note below, if applicable ❑)
a
K tn� �E (Repair)
Installation Requirements /Conditions
Number of trenches
Septic Tank Size 6) 0 t gallons
Exact length of each trench feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: 2t` 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
inches below pipe
Aggregate Depth: inches above pipe
Conditions: (,c„
7—" t.A—s
inches total
WATER LINES (INCLUAG 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: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
this Lonstructson Authorization is subject to revocation it the site plan, plat, or the intended use changes. the Construction Authorization shall not be translerred when there is a change in ownership 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 Agen ' Date: 3— -1 -- t
t
Construction Authorization Expiration Date: 3-1— 15
HTE# lq—,<�-— 3ZS15/� Permit # 2-7--232
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATOO/C —Z'11 2—
ISSUED TO: SUBDIVISION LOT 0# 4
Authorized State Ageq- -T -` -/
�(
777-��� Z— Date:
,7� "
L-4� r
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: z) ti a"2_
Address: Date Evaluated:
Proposed Facility: ", Design Flow (.1949):..7 b
Location of Site: ,,;,,,, y, 2� Property Recorded:
Water Supply: ❑'Public❑ Individual ['`Well
Evaluation Method: ❑' Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
t- ❑ Spring in
g ❑Other
Cut
❑ Mixed
P
R
O
F
I .1940
L Landscape
E 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
, J5_
Lr34f
�i
-lie
�.
a $ — C T
i�%y -vO
/J Y
Viz.cr
4 .
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
„r'
System Type(s)
S
7S'
Site LTAR
, J5_
$