IPAC RHTE# 1�'S3�Z Harnett County Department of Public Health 28778
Improvement Permit
A building permit cannot be issued with only an.J�mprovement Permit
PROPERTY LOCATION: 1 �R Srs V2
ISS ED T0: AAJ ) O C q-+C�2i O G� SUBDIVISION go6Aay E'S,fi -,0 E LOT #
NEWW REPAIR ❑ EXPANSIOSite Improvements required prior to Construction Authorization Issuance:
Type of Structure: M e,N �* "90 ){�i�6c1PnS ��OVs�
Proposed Wastewater System Type: 9S %e lii o QOss cars S r5 ,15rq
Projected Daily Flow: 9Q:>0 GPD
Number of bedrooms: Number of Occupants: 1 rj max
Basement ❑Yes XNo
Pump Required: ❑Yes �KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '.K Public ❑ Well Distance from well �.QQ Net Permit valid for.Five years
Permit conditions: ❑ No expiration
Authorized State Agent: x ��Szh�15 Date: `1 I t, SEE ATTACHED SITE SKETCH
The issuance of this permit by she Health Deparbnent m no way guaronlees'e`anetlRr a of other permits. The permit h�s r ponsible for cher ing with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site pian, 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 requirement 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: �aJ'� CsvjE�Z�obL- PROPERTY LOCATION: McCrAtTcti
SUBDIVISION go60s1 LOT #
Facility Type: lr� a6n� a� �aoysE 191,New ❑ Expansion ❑ Repair
Basement? ❑ Yes --N-- No Basement Fixtures? ❑ Yes )54 No
Type of Wastewater System" ��° RenvC-X s V N (Initial) Wastewater Flow: ��� GPD
(See note below, if applicable ❑) _
P V rc'�- o a la (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size S E<Dp gallons Exact length of each trench G0 C7 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G -> inches
Maximum Trench Depth of: Ti' "'1s0 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: h. TDH vs. GPM inches below pipe
R� Aggregate Depth: -inches above pipe
Conditions: CJ s C S C12c -v4 \-v3 R'(s � ea)C-Dinches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speciled is different from the type specified on the application. / accept the specipcations of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization irsnbiec ou mvondon 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 subiW to mmplian�ANQvisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: W
Authorization Expiration Date: 4
HTE# ��-5"��� Permit #
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
�a t �0 C,5„CGx),N06C
PROPERTY LOCATON: (' V(L'
SUBDIVISION e oOgPj C-, )-,eLN0Ge LOT #
Authorized State Agent:
W o0<�:)�'
®��
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public[] Indidual ❑ Well
Evaluation Method: ❑ Auger Boring Pit C] cut
Type of Wastewater: ❑ Sewage dustrial Process
Sheet:
Property ID:
Lot #:
Filed:
Code:
Property Size:
❑ Spring
❑ 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
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Site LTAR
LS
s
�6
SL
VM 6)N�
6
56x C
fri s l Y
P5
Pj
sL
vFn isIV
` �
58� c
Fn s/
•s'�,
Description
Initial Repair System
Other Factors (.1946):
SS stw
Site Classification (. 1948)`'Site Classification (.1948)`'
Available Space (.1945)
VEvaluated
By: C�
System Type(s)
ds G
Others Present: -'
Site LTAR
.: g7