IPAC RHTE# /ys-317074 Harnett County Department of Public Health 28131
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: t -Jo /d
ISSUED TO/• ���u. Icl�r/ SUBDIVISION fw�e���Ace� LOT #
NEW Q REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: h .37 yl of
Proposed Wastewater System T pe: DZJ �, ree�i�c�• e" -S J` ie _
Projected Daily Flow: 1� v GPD
Number of bedrooms: 41 Number of Occupants: max
Basement ❑Yes Ei o
Pump Required: ❑Yes ❑ No Q"Mae required based on final location and elevations of facilities
Type of Water Supply: El Community L�" Public ❑ Well Distance from well feet Permit valid for: 0 Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: %.Q_ 1/7 /a °<</ SEE ATTACHED SITE SKETCH
The issuance of this permit by t e Health apartment inay 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 TO: TS -1 a11�1f PROPERTY LOCATION: 1 LjcP.,f,��
SUBDIVISION _,�, c e wa.�er LOT #
Facility Type: J_Fb V—New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2' -No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** �?�S^% �e��t (•�Fti �,fi�e,o. (Initial) Wastewater Flow: Q GPD
(See note below, if applicable ❑)
._.%jl� �-- (Repair)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size /00 6 gallons Exact length of each trench JJS O feet Trench Spacing: �/ Feet on Center
Pump Tank Size /006 gallons Trenches shall be installed on contour at a Soil Cover: inches
F needed Maximum Trench Depth of: / 8 -30 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: ,���<< Co1�✓���� �-' C'l(u , ), Iv r �rt'(r�,2 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: /understand the system typepacified is different from the type speciped on the application. / accept the rpecipcations 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 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
C
Authorized State Agent j /Zr Date: 02 /7 "0/y
Construction Authorization Expiration Date: 711Z ; '/9
NTE# f�L-,�-�g7aV Permit # R60 I
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON: Q-) < < C Q r-I&f erl
ISSUED TO: 3—,Y SUBDIVISION S.aee waw LOT #
e
Authorized State Agent:,_ 7�-u., ��s �'��l Date: /a /� 7 (2 0-54
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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: // l
Address: Date Evaluated: i0 ('21/ u
Proposed Facility: Design Flow (.1949):
Location of Site:Property Recorded:
Water Supply: E�/Public❑ Individual ❑ Well
Evaluation Method:❑ger Bo ' g ❑pit F1 cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
G lsL
of /v/" P
IIJ-V
'171 d C
F �s�
�� �� Q3
�70-q8G
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated. By:0 1.
System Type(s) 2/` - Others Present:
Site LTAR 7 7