IPAC RS Harnett County Department
1
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 4/d/,<)
ISSUED T0: SUBDIVISION/kg--// lg--/r_46& LOT # Z�
NEW R AIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Tye
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes No
Pump Required: Efes ❑ No ❑Ma0e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community e Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State nt:: <:— Date: —/ / 7 — / �E SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 revocation IX 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, .1957, .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: _ PROPERTY LOCATION:
6SUBDIVISION
��f LOT #
Facility Type: New ❑ xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E�'No
Type of Wastewater System** j7 /fit =c/ /6C (Initial) Wastewater Flow: -_-3ALLO GPD
(See note below, if applicable ❑)
/ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1) 0 D gallons Exact length of each trench Y6 feet Trench Spacing: Feet on Center
Pump Tank Size oav gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 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
nAggregate Depth: 7— inches above pipe
Conditions: ( a)*7,4r �O ilt,�� 7`" c�j 77-1:1 /�.�d f7— inches total
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.
**If applicable: /understand the system type speciTed is different from the type specified on the app/ication. /accept the speciFcations 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 andR
ulesfor Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State ent• Z—Z�Date: -7 -7
Construction Authorization Expiration Date: 7-/7--7O
HTE# 316 Permit # 27> 7 7O
Harnett Connty Department of-t-tblic Health
Site Sketch
PROPERTY LOCATON: 11
ISSUED T0: SUBDIVISION LOT # 2
Authorized State Ag Date: --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:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):94W
Location of Site: Property Recorde :
Water Supply: Public❑ Individua ❑ Well
Evaluation Method:Q�Auger Boring Pit ❑ Cut
Type of Wastewater: [2-S`ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
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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
19
SL
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Description Initial Repair System Other Factors (.1946):
System Site Classification {.1948):
Available S ace(.1945) Evaluated By:
System Type(s) 'f ' S Others Present:
Site LTAR _.Arl v :n!