IPAC RHTE# 3-7/o7r, Harnett County Department of Public Health 28690
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: OYL /W br)J S%.9O< ,Pb
ISSUED TO;, SUBDIVISION /fYLa>vn wonvS LOT # 38
NEW f3/ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5Nr]
Proposed Wastewater System Type: LS% rZ14,;nttGFLdil
Projected Daily Flow: 3 -CoA GPD
Number of bedrooms:Number of Occupants: /o max
Basement ❑Yes—FN�o --
Pump Required: Idles ❑ No ❑Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community 12Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
OFive years
❑ No expiration
Authorized State Ag t:: Date: Z —/Z —/G> SEE ATTACHED SITE SKETCH
The issuance of this permit Health 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 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 pmvisiam of
the laws and Rules for Sewage Treatment and Disposal and on condition of this permit.
Construction Authorization
Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .19511. 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: Ca MQ'- PROPERTY LOCATION:S.N_ /00 6 .416 s —74--5-X �
SUBDIVISION 0xFd26 c )ZV LOT # 75A
facilityType: sF'16 New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Ld'Na
Type of Wastewater System** ^R� sic Z�"�o r d� rZr/� �� fr;z_ (Initial) Wastewater Flow- E{O GPD
(See note below, if applicable EI)
,a.. 4� 2;�A I?VbVGFZN (Repair)
Installation Requirements/Conditions Number of trenches 71)
Septic Tank Size lotsi!) gallons Exact length of each trench 75 feet Trench Spacing: % Feet on Center
Pump Tank Size 4 vad gallons Trenches shall be installed on contour at a Soil Cover. _4 inches
Maximum Trench Depth of: ZZ. 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: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
2 inches above pipe
/Z1 inches total
**If applicable: / understand the system type specified is different from the type specified on the application / accept the .specifications of this permit.
Owner/Legal Representative Signature: Date:
This Concoction Authorization is subject to revocation if the site plan, plat or the intended use changes. The commission Authorization shall not be transferred when there is a change in ownership of the site. Thu
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 ltt AI IALHtU lilt lxtlCH
Authorized State Age ts�1pj4,t�� (' Date: Z—f1. /(7
Construction Authorization Expiration Date: L/ Z_ 2
HTE# Permit # 28(a`j 0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON,1L//be,1
ISSUED TO:�yz i`Dx� /Ill �f-� -72;0e-. SUBDIVISION OXA?� LJoorJ5 LOT # 3_
Authorized State Aged-- .Q G 4".� Date: L- /1 / (,
20 N 0 47i—c, A-4- ?nom L,\rrw-o j�,z� t �r�Es 4�', 9c)'�t, / /vY,
0�y -�r,,t`
DXFaZD WotoS D,q-.
to
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOI JSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: (—r
Address: Date Evaluated: ?-
Proposed Facility: 5C'I' Design Flow (.1949):.7425
Location of Site: Property Recorded:
Water Supply: QPubliC❑ Individual ❑ Well
Evaluation Method:❑/A-uger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑-gewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOB. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
soil
@t.
.1956
Sapro
Class
.1944
Resn
Hcriz
). 2.
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y
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SL
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N
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): i_-45
Available Space(. 1945) Evaluated By -
System T
y:S stemT e(s) Others Present:
Site LTAR Y