IPAC RHTE #AS—.S- —372-33,, Harnett County Department of Public Health 28593
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:Ek IY03 (—�e/?-0
ISSUED T0:-5l,*lJCz/ A?44-- as?¢.c.o == ;, C SUBDIVISION LOT #
NEW (3' REPAIR ❑ EXPANSION ❑ Site Improvemen required prior to Construction Authorization Issuance:
Type of Structure: .S0=6
Proposed Wastewater System Type: 2-7% rloj L.t�
Projected Daily flow: -.51(ina® GPD
Number of bedrooms: Number of Occupants: le' max
Rasomnnt f lyot AND
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ NoLl Ma be required based on final location and elevations of facilities
El Community iI ublic ❑ Well Distance from well feet
Permit valid for.
Cd'f'rve years
❑ No expiration
Authorized State hgf/' Date: 17 — I —A 1 SEE ATTACHED SITE SKETCH
The issuance of this permit th 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 m revocation i the sin 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 o1 Rules .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be instilled in accordance
with the attached system layout
ISSUED TOS�xO cr-/ PROPERTY LOCATION: rfKtYO Cr Kms bun.
SUBDIVISION LOT #
Facility Type: ZNew 4Expansion ❑ Repairer
Basement? ❑ Yes El No Basement Fixtures? ❑ Yes L'J No
Type of Wastewater System** 2.5'Xeli (Initial) Wastewater Flow: '-'S(esQ_ GPD
(See note below, if applicable O)
pp Q5 (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size 1660 gallons Exact length of each trench I ZO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of > r 9 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: F Feet on Center
Soil Cover. �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
tL inches below pipe
Z inches above pipe
/L inches total
**If applicable: / understand the system type specified it different from the type spedh'ed on the app/ication. / accept the rpeci6ca6onr 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 )tt RI IRIntU )III Mitts
Authorized State A Date: /Z — — / Y�
Construction Authorization Expiration Date: Z—/ - ZJ
HTE# 3-7233 tZ
Permit # 20S-53
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON: ,
je,1,V43 Ab
ISSUED TO:Tn6UBDIVISION LOT # —7"7
Authorized State A ni Z Date: /Z — /
11'1p�, ,v e -
- l rh%EC! 1��J�-TF
Imo'' /p7-
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C.)kye36u/L y ?, zkZsj
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant: 3,_7'f� _
Address: Date EvaluatedJI-3 " /1' 1 1-J,
Proposed Facility: SJOD Design Flow (.1949): -:SCed Property Size:
Location of Site: Property Recorded:
Water Supply: 0 rublic❑ Individual ❑ Well ❑ Spring
Evaluation Method:Auger B�or❑ Pit E3 cut
Type of Wastewater: I] Sewage E] Industrial Process ❑ Mixed
❑ Other
P
R
O
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
Minmlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Resn
Horiz
`Sb�o9L5L
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By: q
System Type(s) Z t1 Others Present:
Site LTAR