IPAC RHTE#1/ S=s-35V�S k Harnett County Department of Public Health 28231
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION:L21/ (- N
ISSUED TO: 1 f/�S SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '>L–) '-14
Proposed Wastewater System Type: —,'26 f JA�
Projected Daily Flow: 3LCD PD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yess No ,
Pump Required: L�Yes ❑ No ❑ Mafie required based an final location and elevations of facilities
Type of Water Supply: ❑ Community ❑' Public ❑ Well Distance from well feet Permit valid for: WrFive years
Permit conditions: ❑ No expiration
Authorized State nt: V Date: 3 — Ll ~ t S' SEE ATTACHED SITE SKETCH
The issuance of this permit bya 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 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 Permio
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:�!-/ 1i S 4)a6QQPROPERTY LOCATION: Z 3 ,ill/
// SUBDIVISION LOT # /
Facility Type: pLii H L�� New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes EY No
Type of Wastewater System** �� 4-o 75-9?6 qliiLtZ6-j i (Initial) Wastewater Flow: —„36 GPD
(See note below, if applicable ❑)�
(Repair)
Installation Requirements/Conditions " Number of trenches �5
Septic Tank Size deo v gallons Exact length of each trench 1®6 feet Trench Spacing: Feet on Center
Pump Tank Size �� 6 d gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of:jZ ° 41' 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
Aggregate Depth:
Conditions:
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.
inches below pipe
Z., inches above pipe
/2-, inches total
**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 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. JCC Al IALIMIJ 311 3llt10
Authorized State Ages: 7/ Date:
Construction Authorization Expiration Date:
HTE# /S%S�-�3��%re Permit # C>2 3 j
Harnett County]Department of �blic Health
Site Sketch
e-- --- ,, )) PROPERTY LOCATON:
ISSUED TO: / �� /Ndt�C��i SUBDIVISION LOT #
Authorized State_ p en Date:
Date:
—
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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:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 5&,6
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:[] 11c5gr Boring ❑ Pit ❑ Cut
Type of Wastewater: 2r 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
<AR
.1941
Structure='
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness,
Color
1943.1956
Soil
Depth (IN.)
Sapro
ClassHoriz
.1944
Restr
y} Z
A
�3/,
b -106
X4,
3. Y
S- Ylt
�.ye
"?a
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) 7 Others Present: 2��
Site LTAR