IPAC RHTE# /y/ s,3/.7 72 Harnett County Department of Public Health 27992
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIQN: —7—, /1 X.
ISSUED TO: �%crnc e �v �cJ�rl SUBDIVISION &, ,ti+- LOT # 131
NEW 0' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF6 5-Y X V3
Proposed Wastewater System Type: cZ f. tee 4ta c - +.
Projected Daily Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes E?No
Pump Required: ❑Yes 19"'No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L "Public ❑ Well Distance from well feet Permit valid for: INr rive years
Permit conditions: ❑ No expiration
Authorized State Agent:: lee Date: X Z Z zc/ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 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: �%..1c� �ut•� c�e✓i PROPERTY LOCH ON:
SUBDIVISION � f Z' ;r
� LOT # 13f
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes CZNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** c2 5-7. te-4 c (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
S-7. )e--J • fyJ� (Repair)
Installation Requirements /Conditions Number of trenches /
Septic Tank Size /0 0 4 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench a V O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: /,8- 2_q inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Conditions: %fin=•„ / �°�trG� �'�.Ier�e,,�j
Trench Spacing: 9 Feet on Center
Soil Cover. C, - r 2— 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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: /understand the systex type speci(ed is different from the type speciled on the app lication. /accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, slat or the intended use chanees. The Construction Authorization shall not be transferred when there is a chanve in ownershin of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and
Authorized State Age
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 8 12 z 1a9°(
Construction Authorization Expiration Date: 2 Z /2C/
HTE # /j 74
Harnett County
Permit # a 7 9 ? Z
]Department of Public Health
Site Sketch
p PROPERTY LOCATON:
ISSUED T0: �-�oe�c .I �Ju Ic�Rrf SUBDIVISION LOT
Authorized State Agent:
Date: _ Y
C
r3v
YO ^ Ve-Q- C ' ,
l9�
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: j �y
Address: Date Evaluated: /
Proposed Facility: Design Flow ( 1949):
Location of Site: Property Recorded:
Water Supply: [3-Kblic❑ Individual ❑ Well
Evaluation Method: ❑/Kuger Boo �g ❑ Pit ❑ Cut
Type of Wastewater: 11 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/
Textt/ure�
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
r 1'
y
G-
7f �l�? �P
/2f
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): 10f
Evaluated By:
Others Present:
Available Space(. 1945)
System Type(s)
1 f" Y
1—ai .
Site LTAR
•3
r 1'