IPAC RHTE# 4—S -3-795 j< Harnett County Department of Public Health 28818
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
7 PROPERTY LOCATION:
ISSUED Tqy F 5s e--11 SUBDIVISION LOT #
NEW E REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S r-2�>
Proposed Wastewater System Type: LS"/n 1Z'-ZlVc-F2e-�)
Projected Daily Flow: 3 6 6 GPD
Number of bedrooms: �X Number of Occupants: _max
Basement []Yes 'g
No
Pump Required: ❑Yes ❑ No_M,aY'�a required based on final location and elevations of facilities ��
Type of Water Supply: 11 Community f3 Public El Well Distance from well feet Permit valid for. LK Five years
Permit conditions: ❑ No expiration
Authorized State Age ;—,aa?n�v Date: Y-6 —//n SEE ATTACHED SITE SKETCH
The issuance of this permit by IV 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 to revocation if the site plans, 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, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
will the attached system layout
ISSUED TO: 711:5.5 PROPERTY LOCATION: 04 yd 1 N
SUBDIVISION LOT # 4.
Facility Type:? Cil NewExpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ElYes Ld No
Type of Wastewater System** (Initial) Wastewater Flow: 34P6 GPD
(See note below, if applicable ❑)
(Repair)
Installation Re uiremen Conditions Number of trenches
Septic Tank Size D gallons Exact length of each trench Zp D feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZZ-) I A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: tt TOM vs. GPM
Trench Spacing: Feet on (enter
Soil (over. _� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
r�
Aggregate Depth:
Conditions: �tlr'�F , NAT,) &a t)+-rCa'4c
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
inches above pipe
/2— inches total
**If applicable: / ooderstand 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 Construction Authorization is subject to revocation if the site plan, plat or the intended we changes. The concoction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to compliance with theprovisionsof the haws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE AIIACHED SITE SKETCH
Authorized States enc G /�9�ii+>�_L,y Q Date: 4 —4P :JiJ
tl
Construction Authorization Expiration Date: `j — (a— i I
HTE# &— S nUrc
Permit # LR`old
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON:
ISSUED TO: �SSPI� SUBDIVISION 5711e0elLOT #
Authorized State A t: 5 Date: q-6
I ST 1
1n�E Zj') /'"Ie 41-) /7`7`17— ,/�j Z CAf.G /.C.,t:'r j —6 r/
P'/ v
0/L) Seca ce 4 Lr60F S .
1
r✓I�� T
o �
I'AA
3�,
4I41,
59,E T,,,,<sTp„
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: f?16&T__
Address: Date Evaluated:
,.
Proposed Facility: -r�,t� Design Flow(A 949):2d-47)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: tY Sewage ❑ 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.)
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
Resn
Horiz
4 36
o-cr
waS,C'
y� �01-
3
L
Z'
a — 12
JL
Fx.G•,4�rm
i2.�G.s>:P
Cr
" �.�
30-1'2 `Z
✓.3
VS
P
Description Initial Repair System Other Factors (.1946): J7
System Site Classification (.1948):/'
Available S ace (.1945) Evaluated Byfh�--
System Type(s) Others Present:
Site LTAR