IPAC RHTE# (Co )-3'2-112-1Q- Harnett County Department of Public Health 28825
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
qpPROPERTY LOCATIO!14klc'V,0-S�.e 5,o6t)
ISSUED TO: e'j^ f ��%� a � 6T SUBDIVISION LOT #
NEW 11 REPAIR 0 EXPANSION ❑ Site Improvements required rior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T e: Z3%2P4i )UZXZATI�
Projected Daily Flow: L{o GPD
Number of bedrooms: Number of Occupants: 60 max
Basement ❑Yes No
Pump Required: []Yes ❑ No E2 Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L9 Public ❑ Well Distance from well feet Permit valid for. EVFive years
Permit conditions: ❑ No expiration
Authorized State A = rds�rc' Date: y— P—/ fo SEE ATTACHED SITE SKETCH
The issuance of this permi[�gf 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 revocation d 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 Permits
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be instilled in accordance
with the attached system layout
ISSUED TO: / ray . PROPERTY LOCATIONkrX1'/V9'1grZ— J-1&3
SUBDIVISION LOT # %
Facility Type: s IR/ New ❑ xpansion ❑ Repair
Basement?❑ Yes No Basement Fixtures? 11 Yes EAN/04
Type of Wastewater System" ZS'f, )YL > ZfL11�-J 15cAs7yi�� (Initial) Wastewater Flow: 8v GPD
(See note below, if applicable ❑) '
Z S21 t�✓"i��lr/� (Repair)
Installation Requirements/Conditions Number of trenches Z 0
Septic Tank Size ODo gallons Exact length of each trench feet Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: �� inches
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth
(Trench bottoms shall be
in all directions)
GPM
oL 47Y inches (Maximum soil cover shall not exceed
level to +/-1/4" 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.
y inches below pipe
Z inches above pipe
inches total
**If applicable: / understand the system type speciffed is different from the type speOed on the app/icadoa l accept the spea6catioar of this permit.
Owner/Legal Representative Signature: Date:
This Constroction Authorization is subject to revoauon if the site plan, plat or the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization u subject to compliance with the provisions of the Laws and Rules for SewwaageTreatment and Disposal and to the conditions of this permit 5tt III IALMtU 511t MtILn
Authorized State�. r� s� P �:'��- Y'� Date: Lf- $ - / G
lam" Construction Authorization Expiration Date: Zf- 9-,Z/
HTE# 3S11'Z.K Permit # 156 PS'
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATONrTz-JYL(? /2ri4P 15 /Zed
ISSUED TO: / SUBDIVISION „h7G7s1/S ✓C/%y+rrz- LOT # —_
Authorized State Age ���A�,Jf'1 �+n_ " Date:
(09
-7-7
f WIGq c7'
IV
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: ''''( 04—
Address:`� Date Evaluated: y' y"'f-16
Proposed Facility: b ° �- Design Flow (.1949):'T'Lb
Location of Site:�- Property Recorded:
Water Supply: x] Public❑ Individual ❑ Well
Evaluation Method:❑kmger Boring ❑ Pit ❑ Cut
Type of Wastewater: []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
M.)
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 2
j
3-voe
b- y o
SL
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space( 1945) Evaluated By:
System T e(s) s'Z ��- Others Present:
Site LTAR Y •�