IPAC RNTE# -2 Harnett County Department of Public Health
28789
Improvement Permit
A building permit cannot be issued with only an Improvement Permit (�
PROPERTY LOCATION: l53 �vflFi7,ou �sx- Soaoo�
kp
ISSUED TO: S� u .GtC saN �,F a r 7 SUBDIVISION LOT #
NEW K REPAIR ❑ -.4PANSION ❑
Type of Structure: SFD �3�.:xS O )
Proposed Wastewater System Tter System T p�J� S d �5' cs F cOvc + u sJ
Projected Daily Flow: 3t�A--T GPD
Number of bedrooms: 3 Number of Occupants: b max
Basement Yes;��o
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: 'les No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community XI Public ❑ Well Distance from well it O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: s 1 7 l SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu rice h permits. The permit hold r is resp risible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Pe shill 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 requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1950. 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: SOS CpS �i rs zLs,C �1 PROPERTY LOCATION: X53 P+Not7so r �(?Ft Sc;,cc
SUBDIVISION LOT #
Facility Type: SFS �3� .�5p� �K New ❑ Expansion ❑ Repair
Basement? ❑ Yes '15KNo Basement Fixtures? ❑ Yes ANo
Type of Wastewater System" Py ocm IiM- 2 5��0 V'CrD\.> 0�l O nA S GSSG Sr (Initial)
(See note below, if applicable ❑) (�
P V TCS \ o o�� �/0 9 W tRpnairl
Installation Requirements/Conditions
Septic Tank Size i ococzb gallons
Pump Tank Sizen� gallons
Number of trenches 1-i
Exact length of each trench �57- feet
Trenches shall be installed on contour at a
Maximum Trench Depth of Sa=)1 (� inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Wastewater Flow: 'gf-O GPD
Trench Spacing: 1 Feet on Center
Soil Cover. C� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: h TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions:yp eovCn rvGG1;56-0 ovc�z Dah.oe inches total
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.
**If applicable: / understand the system type speriled fi different freffl the type specified on the app/icarion. / acrept the sperilations of this permit.
Owner/legal Repressfatative Signature: Date:
This construction Authorization is subject to r �n it the site plan, plat, or the intended use changes. The Concoction Authorization shall not be transferred when there u a change in ownership of the site. This
Construction Authorization ism to mmpliana wE 1 kk tthe laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: a6 JG
Con icn Authorization Expiration Date: f
HTE# Permit # aq--W
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:'153 Sc, our --
ISSUED TO:�s ,r-. QAj DGs� yw, h� N5 -s, SUBDIVISION LOT #
Authorized State Agent
Q
2fa�a�J �
N � 5
Date: 4 26 4
Ptvo$Lsf)„r Ct�2,GLY.. sU.aU�1- �v�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHAITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant: j/d4/iv
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: fP blic❑ Individual C] Well
Evaluation Method:[]/AugerB ng ❑ Pit F1 cut
Type of Wastewater: Fewage ❑ 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
.1942
Soil
Wetness/
Color
.1943
Soil
th IN.
.1956
Sapro
Class
.1944
Restr
Honz
`f
(
/Mineralogy
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space( 1945) Evaluated By:
S stem T s Others Present:
Site LTAR