IPAC RHTE#s- s —36 o1E Harnett County Department of Public Health 2869.9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ \ PROPERTY LOCATION: /( U / %Zeh s —A
ISSUEDTOO- S / /�jc{ spy 2 4,C14Lo o SUBDIVISION LOT #
NEW F REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 2�j� tZg-6U/.r ur:a)
Projected Daily Flow: N Pat GPD
Number of bedrooms: _tom_ Number of Occupants: _max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No �a be required ased on final location and elevations of facilities
Type of Water Supply: ❑ Community f7Public Well Distance from well 1 t)hl feet
Permit conditions:
Permit valid for.
Dive years
❑ No expiration
Authorized State rat L v Date: Z — /O — // SEE ATTACHED SITE SKETCH
The issuance of this permit th health Department in no way guarantees the issuance of other permits. The permit holder a responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoc: a 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 Permjt)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: , SiG?/-b6� / rlCl PROPERTY LOCATION: 5;k 11_D(Ce r� . rtlJ
SUBDIVISION LOT #
Facility Type: 0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Dio
Type of Wastewater System" ?T% (Initial) Wastewater now: �� 6 GPD
(See note below, if applicable EI)
2 5 % a22i1vc ` S . �—� (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size f ? vo gallons Exact length of each trench 1 —7 7 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDM vs.
Conditions:
Maximum Trench Depth of: ZZ inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
Trench Spacing: f Feet on (enter
Soil Cover. L inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
4 inches below pipe
:Zinches above pipe
t_ inches total
"If applicable: / undetstand the system type spedbed is different from the type speri6ed on the apph?anion. / acrept the speribcatioas o/ this permit.
Owner/Legal Representative Signature: Date:
This (contraction 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 ettt : 2 �_ —`
g �y----,L�.�,.�..s-. z
Date: - /0
U Construction Authorization Expiration Date: 7 — /d — Z /
HTE# /'5--5---3GiY1?, Permit# 286,5�
Harnett County Department of Public Health
Site Sketch
2 PROPERTY LOCATON: 8 -YL /Ld / %love ,� /e4
ISSUED TO:i �i�/f SJSd>J /�usT���J�S/ SUBDIVISION LOT #
Authorized State Agen . G /" %/ .�.� � � Date: Z-/® — Al
\
2
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:
Address: Date Evaluatetti7-1'-5 -1 I'
Proposed Facility: Design Flow(. 1949):LNJ'b
Location of Site: Property Recorded:
Water Supply: ❑-public❑ Individual ❑ Well
Evaluation Method:[] Attger Boring ❑ Pit ❑ Cut
Type of Wastewater: _J] Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
1. Z
L 2 ��
b-/�
SL•[m.--
•rti 6..�.e:rwr
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): /
Available Space (.1945) / Evaluated By:
System Type(s) -7. 6— Others Present: lJ�
Site LTAR - "Qj