IPAC RHTE#' s — "�f�l� Hari. -`t County Department of Public _,ealth 28097
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/" PROPERTY LOCATION 51 -ICAC, 67;-4S ; ry
ISSUED TO: _ t�V / tCi�C�/r.e��C SUBDIVISION LOT # 1_
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: -5_11b
Proposed Wastewater System Type: Zola
Projected Daily Flow: 34-0 GPD
Number of bedrooms:
Basement ❑Yes o
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Number of Occupants: _ % max
l �f Ma a required 00d on final location and elevations of facilities
L/� Public L'J Well Distance from well 100 ( feet
Permit valid for:
LTJ five years
❑ No expiration
Authorized State Ag t.- Date: /� 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: L�/�< c ��1�?,�c�,,) PROPERTY LOCATION: F/
SUBDIVISION LOT # z—
facility Type: E2 New �❑xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? E] Yes 3� No
Type of Wastewater System** (Initial) Wastewater Flow: 3(0-0 GPD
(See note below, if applicable ❑)
pair)
IJh
nstallation
Installation Requirements/Conditions Number of trenches _
Septic Tank Size __IZ)OD gallons Exact length of each trench P_ 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:Z�/ �"� 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: �/Z inches total
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.
**If applicable: /under tend the system type speciTed is different from the type speciped on the app/ication. /accept the rpeci�cations 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 he transferred when there is a rhnnoa in nwnarchin of the Cita Thi,
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 VSEE ATTACHED SITE SKETCH
Authorized State Aggnf Date: //"Z —/
/' Construction Authorization Expiration Date:
HTE# _S "_ y8c1�v, Permit # � �, 5
Harnett County ]Department of Rtblic Health
Site Sketch
ISSUED T0: (""J PROPERTY LOCATQN: �� 61A�< ry1z.�,.�,�,.) SUBDIVISION
Authorized State Agen �42— Date:
q v
LOT # Z
/-2/-
-57
-2i-
s
I
5 .)
F Pk
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d
Department of Environment, Health and Natui,._ Xesources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: c
Address: Date Evaluated: 11' Z' 4
Proposed Facility: Design Flow (.1949):
Location of Site:"Property Property Recorded:
Water Supply: (� Public❑ Individual F1 Well
Evaluation Method:[ Auger Bio 1 9 El Pit ❑cut
Type of Wastewater: (7 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
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
.L943,
D
.1956
Sapro
Class
.1944
Restr
Horiz
t�• yb
"'GI
35�-sS.
5L
fit"
VIS,--
a
&;'Z -
;K1
412
qD
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) 2 7101- Others Present:
Site LTAR