IPAC RHTE#/S—x—.315 Harnett County Department of Public Health 28360
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:�W-3
ISSUED TO: IA
��r� ��( SUBDIVISION LOT #
NEW ❑ REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: (,0 /%/74
Proposed Wastewater System Type:
Projected Daily Flow: % ® GPD
Number of bedrooms:— Number of Occupants: max
Basement [--]Yes L" No /
Pump Required: ❑Yes 11 No Z May be required ba d on final location and elevations of facilities
Type of Water Supply: El Community El Public L�" Well Distance from well X5'0 feet
Permit conditions:
Permit valid for: E�rFive years
❑ No expiration
Authorized State All
Date: `/��7/s"— SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 revocatio t e 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:/T�� �. c%>�' PROPERTY LOCATION: k
SUBDIVISION LOT #
Facility Type: A/ /2� ElNew ElExpansion Repair
Basement? E]Yes Z No Basement Fixtures? ❑ Yes a No
Type of Wastewater System**
(See note below, if applicable ❑)
pair)
Installation Requirements/Conditions Number of trenchm/
Septic Tank Size /UDz) 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'% inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: 3roCD GPD
Trench Spacing: Feet on Center
Soil Cover:_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
9— inches below pipe
Z inches above pipe
-12—- inches total
**If applicable: / understand the system type specified is different from the type speciTed on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site elan. 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
Authorized State Age Date: Lf i-7 - r 5'
,�/ Construction Authorization Expiration Date: y - i :Z -'Z<D
HTE # Permit # -2S S(�e D
Harnett County Department of Public Health
Site Slketch
PROPERTY LOCATON:2K- f `iD3 , /1-�2
ISSUED TO: A)rrda'a=._, hZ SUBDIVISION 6 LOT #
Authorized State Ageaf.__ Date:
9- 1-7 — ( 5 "-
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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: 6A-`
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949)$
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method:(�Auger Boring ElPit ❑ Cut
Type of Wastewater: ❑--Swage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I .1940
L Landscape
E 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
yZ
� Z- YD
C—c r
L'� 5t P
3 b� ` �`�•z.
1
Description Initial Repair System Other Factors (.1946)-
system
946):S stem Site Classification (1948):
Available Space (.1945) Evaluated By:
System T e(s) Z o o Others Present:
Site LTAR 11,153