IPAC RHTE# /:S-- 5� -3s5S3 Harnett County Department of Public Health 28246
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: 17&1` 5— d
ISSUED T0: l�A'1 o2<�t �i SUBDIVISIONLOT # —�
NEW 2' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ Ykc3l1ra- ' -Tr—'Z5
Proposed Wastewater System Type: ?5%
r
Projected Daily Flow: 3ce-c, GPD
Number of bedrooms:
1-11,
Basement E --]Yes
2 No
Pump Required: ❑Yes
❑ No
Type of Water Supply:
❑ Community
Permit conditions:
:Numbe of Occupants: max
M be required based on final location and elevations of facilities
Public ❑ Well Distance from well feet
Permit valid for:
Z Five years
❑ No expiration
Authorized State Agetft:�_ —�—� f/y, "� , r't�— CI Date: — ZS =t 5'� SEE ATTACHED SITE SKETCH
The issuance of this permit by 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:/����` /''�e�c ) PROPERTY LOCATION: ga /76-5-e,116 ���eiu��.•��.2�]
SUBDIVISION U LOT #
Facility Type: S f-� New �❑ Expansion ❑ Repair
Basement? ❑ Yes 2" -No Basement Fixtures? ElIl Yes No
Type of Wastewater System** Z S'lj�!�l s7ez� `,, S%_« (Initial) Wastewater Flow: 3(!�t 6 GPD
(See note below, if applicable ❑) r
Z��a /�G�"Lr� (Repair)
Installation Requirements/Conditions Number of trenches Z.
Septic Tank Size 6 Q d gallons Exact length of each trench %5'o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z`/>/ d inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: �l Feet on Center
Soil Cover: 67 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
/Z-- inches total
**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 chances. The Construction Authorization shall not be transferred when there is a change in ownershin of the site This
Construction Authorization is
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized Stat ent: C v� �' `� Date: 3 ?5 -r 5
Construction Authorization Expiration Date: 3 - 2 -) ----76
HTE# f 5 — _ 3 ���/2 Permit # z8 z,-/
Harnett County Department of niblic Health
Site Sketch
PROPERTY LOCATON;z�i�7D5— 0./ .6 ' iz�,z�rr.•s� .
ISSUED TO: 61'�� �IJYI c i9rJ SUBDIVISION LOT # J
Authorized State nt: Date:
\►
. M
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: aw .
Address: Date Evaluated:
Proposed Facility: r_-6 Design Flow (.1949)-36-0
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: El -A-ag—er Boring ❑ Pit ❑ Cut
Type of Wastewater: ET -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
1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
1.2-
L �S{�t
b ` S.
SL
✓ Gtr- ry
�Y,S•
SB.
��
a •ig"
s�
�h- �s�c"
w
ode
36 sc?'��
�'—
f
S" zY
SG C'
i� I V_ 5
-F
vl_
340
,
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated B�
System Type(s) Others Present.
Site LTAR