IPAC RHTE# Z41-3-- Harit_.c County Department of Public .-ealth 27999
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: i:^oe. i2d.
ISSUED TO- % t7TQ.ceJ Gtr /j i^ rcn SUBDIVISION —IMC, e+�!/6 C� LOT #
NEW i� REPAIR ❑ EXPANSION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFb MZ Ix140
Proposed Wastewater System Type: oZ5 ,? Rciu cF:un t5xk-/e,
Projected Daily Flow: ei$ 0 GP— p
Number of bedrooms: �J Number of Occupants: max
Basement ❑Yes 210
Pump Required: ❑Yes El'io ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community fes✓ Public ❑ Well Distance from well het Permit valid for
Permit conditions:
Er-F-ive years
❑ No expiration
Authorized State Agent: 4w _ /e X«/ Date: 7t id 1,314&1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits The permit Insider is responsible for checking with appropriate governing bodies in meeting their requirements This
site is subject to revocation if the 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, AST, .19Sa and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
wish the attached system layout. p
ISSUED T0:%r¢e o <et `Tc AYr �ad%^!en PROPERTY LOCATION: � e
SUBDIVISION o.,- -.f- kc. c LOT #9,P,
Facility Type: Sf El"'New ❑ Expansion ❑ Repair
Basement? ❑ Yes Q�No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" d .S-7 AItJQJt fhor (Initial) Wastewater Flow: `/60 GPD
(See nate below, if applicable ❑)
ar;z —(Repair)
Installation Requirements/Conditions Number a( trenches /
Septic Tank Size /000 gallons Exact length of each trench coca feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: J'/- 7tb inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TUN vs. GPM
Conditions:
Trench Spacing: 9 feet on Center
Soil Cover. 11 Z `/ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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 specified is different fmm the type speal;&d on the app/icaoim.. / accept the speuh?avitm; of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plea, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Lomtmmon Authorization is subject to compliance with the provisions of the laws and Rules kir Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �-� X"c (- Date: /`/ /113 zcir-
Construction Authorization Expiration Date: c / 1 do zC
HTE# J_ Y'%2(- k Permit # x7 99 9
Harnett County Department of Public Health
Site Sketch
/ PROPERTY LO(ATON: Ti=21?_
Ad,
ISSUED TO: `6,'43°n SUBDIVISION �Ici 2 1? / /LOT #
Authorized State Aaezt (yvJa C�'/}% Date:
Department of Environment, Health and Natur .esources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 64f/1111Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site:,�,/ Property Recorded:
Water Supply: IQ Public❑ Individual El well
Evaluation Method: Auger B ing ❑ pit El cut
Type of Wastewater: Lj Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Suvctul
Texture
.1941
Consistence
Mineralogy
Iggg
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
<AR
�a �J
6.
7
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948r
Available Sp cc 1.1945) Evaluated By:,O"
S stem T e(s) Others Present:
Site LTAR