IPAC RHTE# I�—e.�33fZ Harnett County Department of Public Health 28475
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LO(ATION:;F�u2.`) C." li 1
ISSUED TO: Ae'�c" "kcs 6R"US6 SUBDIVISION LOT #
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1> l
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: i aQ max
Basement ❑Yes 2" No
Pump Required: ❑Yes ❑ No C�'F1ay required ba ed on final location and elevations of facilities
Type of Water Supply: ❑ Community lel Public Ill11 Distance from well �/ feet
Permit conditions: U
Permit valid for:
Z -Five years
❑ No expiration
Authorized State Ag nt: IV Date: `%— Z Z-'/5' SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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 kee 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: 14e PROPERTY LOCATION: 5,( J'M
� SUBDIVISION LOT #
Facility Type: Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Colo
Type of Wastewater System** ?�5,�L ii�tta—?t tis (Initial) Wastewater Flow:[ GPD
(See note below, if applicable ❑)
U 4 -P --(Repair)
Installation Requirements/Conditions Number of trenche �
Septic Tank Size 1660 gallons Exact length of each trench /04D feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: ? inches above pipe
—,/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 type specifled is different from the type speciped 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. SEE ATTACHED SITE SKETCH
Authorized State A Z Date: ?-22—r S`®
Construction Authorization Expiration Date:—7-,,z7—
HTE#
Permit # Z 8 V 7�
CountyHarnett ' 1, 11,' 1 Health
Site Sketch
PROPERTY LOCATON:�il �� a
ISSUED TO: 1 `1 1—)effS Sl SUBDIVISION LOT #
Authorized State
Date: -7— Z-7—f5C
-5k1 N2j �eadc- q) .
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: 16
Address: Date Evaluated:
Proposed Facility: 'i�Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: _E� Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 2 -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
Puty
p
Z 3
L�
�-- 1 a
SL
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System 1e(s) J Cid Others Present:
Site LTAR