IPAC RNTE# ' -s �d�"�,A Harnett County Department of Public Health 28097
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
l ( �� PROPERTY LOCATIONt� JIW6, eyyQ 5" %7s–ce..�
ISSUED T0: _ Gcf� �,-t_ Gn3 SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: •.54�b
Proposed Wastewater System Type: 2—,Y -Vo
Projected Daily Flow: 3 f-0 GPD
Number of bedrooms: Number of Occupants: Amax
Basement ❑Yes
Pump Required: ❑Yes ❑ No 2 Ma a required 00d on final location and elevations of facilities
Type of Water Supply: ❑ Community L/I Public IJ Well Distance from well / 00 f feet
Permit conditions:
Permit valid for:
RIFive years
❑ No expiration
Authorized State Ag tDate: /%'%/`i1 SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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 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: Com//�� (p rJ rZ� PROPERTY LOCATION: 5X./4:�r, dl
SUBDIVISION LOT # z_
Facility Type: � i U New ❑l xpansion ❑ Repair
Basement? 11 Yes No Basement Fixtures? El Yes 2No
Type of Wastewater System** b�,— (Initial) Wastewater Flow: 3622 ® GPD
(See note below, if applicable ❑)
L== � �r /�J6; a � epair)
Installation Requirements/Condition�Number of trenches
Septic Tank Size gallons Exact length of each trench P -C--> 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. ZC/-' � 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: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 1OFT. 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 app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to
Authorized State
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date:
Construction Authorization Expiration Date: I—Z/ —/13
HTE # _ S v.� y8�1� Permit # C� D
Harnett County epartment of Public Health
Site Sketch
PROPERTY LOCATON: 2ik- /&'o "0� SCS
ISSUED T0: { J7� . �J�� SUBDIVISION LOT # -2-
Authorized
Authorized State Agen Date: /V
---� J-z�q
u
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: 11'Z64
Proposed Facility: d'�� Design Flow (.1949):
Location of Site:�/ Property Recorded:
Water Supply: E3 Public❑ Individual ❑ Well
Evaluation Method:[ Auger BBo}'ing ❑ Pit ❑ Cut
Type of Wastewater: 2 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
le. y�
-�►Actk
3Y0 7
35--s1.
SL_
A,
N
t
b —Z6
5L
2b- (10
5C -L
,p.
- 34.
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) �`°y Others Present:
Site LTAR