IPAC RHTE# 16-5-'r"3'�4012- Harnett County Department of Public Health 28606
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
l PROPERTY LOCATION: So e Cmd-\'V5 R.D
ISSUED TO: C�e-L-n-ac5 �Mcny �`P�1L �J SUBDIVISION LOT #
NEWT< REPAIR ❑ VPANSIQN ❑
Type of Structure: Tv) P%-, 'Y40 cam- Qa --6�
Proposed Wastewater System Type: Qu m,e 7T 'QSO/v �91.r" is N
Projected Daily Flow: 3F 0 GPD
Number of bedrooms: �_ Number of Occupants: max
Basement []Yes 3s to
Site Improvements required prior to Construction Authorization Issuance:
Pump Required7Xes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well V(!)O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: j Date: c 7 I 1 (I) 3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu of ther permits. The permit holde i poi sihle far checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat or the intended use changes. The Improve lent Permit shall not be affected by a change in ownership of the site. This permit is sulepa 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 o1 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: 2 t s f l l cws m-) S KPi2 aJ PROPERTY LOCATION: So £ Q12 L -L) N5
(.� SUBDIVISION LOT #
Facility Type: M PN 1-tarrs6 `A o XNew ❑ Expansion ❑ Repair
Basement.? ❑ Yes '1 -?k No Basement Fixtur ? El Yes �No
Type of Wastewater System** Qurnf� Silo LcV ,'�-� O,t S>5 , (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Q V crap �< c) -e c, Qz-o (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size s oO 1Z) gallons Exact length of each trench ao0 feet Trench Spacing: Feet on Center
Pump Tank Size a o0 o gallons Trenches shall be installed on contour at a Soil Cover. d a inches
Maximum Trench Depth of: a14 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: N. TDM vs. GPM inches below pipe
(� Aggregate Depth: inches above pipe
Conditions: Ia0 aF alRlPlN Y—E(2ku1cx.w\XicaG VOQgzE ;I L)'ar--SgrG inches total
S )— F— 5-ve c Gt1
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undeatand the s}rtem type (periled is different from the type spedled on the app/urban. / accept the rpedflatianr of thin permit
Owner/Legal Representative Signature: Date:
This Construction Audrorization is s* tion if the site plan, plat or the intended use changes. The Construction Authorization shall trot be tnmferred when there is a change in ownership of the site. This
Construction Authorization is m to mmpliam ova of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 9`1-5 Date: T T 16 S
Con ion Authorization Expiration Date: 1 36 a6
HTE# \ 5 - 5 373a06Z Permit # � (
Harnett County Department of llublic Health
Site Sketch
--�� PROPERTY LOCATON: C -0z--.`'45
ISSUED TO: L N Lm(n) SUBDIVISION LOT #
Authorized State Agent: 4Fj356O vCQ- 1 0L)<�50090 Date: t llis
33
3.5,
ae
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 Design Flow (.1949): 360
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho� Auger oring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
P
1
L
E
#
.1940
Landscape
Position/
Slope%
Horimn
Depth
(In.)
SOI, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depdi IN.
.1956
Sapro
Class
.1944
Restr
Honz
Q �1L1
G L5
\Fk
Sgi2 SCL
"PCL 55ISQ
PS 1'}C
O=
G s
vrn�l r
c9�" o
V 5
U2;
14`40
Q\\,,
�Uh 5�
�sr
\ ' /
t,4LG �,Ll. ,�?,a
45
Description Initial Repair System Other Factors (.1946):
Systelft Site Classification (.1948):
Available Space(. 1945Evaluated By:
System 7 e(s p ' Others Present:
Site LTAR
oaL ,; - \a6 (�' >, N. cae.�r�