IPAC - JM did not use revisionHTE# /$ 5-377-5S Harnett County Department of Public Health 28590
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: %w Jlfo3 lam
ISSUED TO:.5%�A�/ St bC5 SUBDIVISION G tna. JIL LOT # 3:4
NEW REPAIR 0 EXPANSION ❑ Site Improvements reqLlRd prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: *Z -S% f? raid 2rLl
Projected Daily Flow: 240 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes 4fo
Pump Required: []Yes ❑ No Q Ma a required based on final location and elevations of facilities
Type of Water Supply ❑ Community f Public ❑ Well Distance from well feet Permit valid for. 9-Kye years
Permit conditions: ❑ No expiration
Authorized State t: Date: I/— 18 —/S' SEE ATTACHED SITE SKETCH
The ituana of this permit y t e Department in no way guarantees the inuanre of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revoation ifs are 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 Pules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1958, .1951, .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: /3/bXA PROPERTY LOCATION: V
/ SUBDIVISION Kka-4o.4Ptoh LOT# 36
Facility Type: 0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 7r"No
Type of Wastewater System** 25%b 2A9Z�U/AZUL ;51<f4%— (Initial) Wastewater Flow: b -ell GPD
(See note below, if applicable ❑)
&.9. 04b (Repair)
Installation Requirements/Conditions Number of trenches 14
Septic Tank Size / o o o gallons Exact length of each trench /v O feet Trench Spacing: Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of. Z.4 6$ ""finches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM L inches below pipe
� //// pp /A� � Aggregate Depth: inches above pipe
Conditions: AZP.rx C4 /)Aom ..,i /&W gi /7YY11 :oJ.— inches total
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• / understand the system type specified is different from the type specified on the application. / accept the soecilcationr of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revootion 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
Lonstmcton Authoozanon is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit 5tt AI IALHtD Silt SAtILH
Authorized State t: Date: / t —/ q —/ -,—
Construction Authorization Expiration Date: / t — / a- 2n
HTE# -'-:Y17 -30 Permit # ZP,s`lo
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:,5-1 jy0 3 �� iLt �/!✓�
ISSUED TO: 5/_/4,�}cz-,/ /31,617>S SUBDIVISION ! LOT # _
Authorized State Agen Z Date:
04
'(6, 4-1-> G
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13
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 54
Address: Date Evaluated: I Ltti.K.� cr�
Proposed Facility: ,S I Design Flow(. 1949): 34j)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:[j-'Xu_ger Boring ❑ Pit ❑ Cut
Type of Wastewater: -E-Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
0
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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
'
f: tit
b - Z2
L
"r.1an0A
2z-36
L�
b�a8
32"
j
2
w
L;
-�e
�
1 "` a
�d � Y�`•
3
L
G • 4(o
rL
6•L,vsrJ•
N
4 ay
L-
6 30
3L
"14-
3b .1 ;�`
3rJ6�
qr
Description Initial Repair System Other Factors (.1946):
Sys Site Classification (.1948):
Available Space (.1945) i Evaluated By:
System Type(s) 7?i—YW5 Others]
Site LTAR I . 94 1 i� .49
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