IPAC RHTE# 438'i4�f� Harnett County Department of Public Health 28846
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
�,t7 I PROPERTY LOCATION: 3z. / oo to D 6 � S 7i eg i--r�
ISSUED t�IMLK ��oc�2t�deGS SUBDIVISION DY -df Y L�JzrxrA-S LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: --)
Proposed Wastewater System Type: 2� "la [Lr4l-�
Projected Daily Flow: 3 (es' GPD
Number of bedrooms: Number of Occupants: ` max
Basement ❑Yes No
Pump Required: Dyes ❑ No /Mav/be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community o Public ❑ Well Distance from well feet Permit valid for. fJ Five years
Permit conditions: ❑ No expiration
Authorized State Aunt:' (q� J{c/!�U✓ Date: Y— ZYi —�!s SEE ATTACHED SITE SKETCH
The issuance of this permit 8y 71�l�eahis 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 i;L/tWsite pin, 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 requirements 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: 5 /' ( �iLd ays PROPERTY LOCATION: o, !,K Cv 0/ S>-eAt:� -15�' fW
SUBDIVISION D) F9n-0 WaS Z b _S LOT # ro
Facility Type: 577 LN" NewExpansion El Repair
Basement? ElYes No Basement Fixtures? 11Yes Fie No
Type of Wastewater System** 7S5Vb (Initial) Wastewater Flow: 31&ob GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size loo r7 gallons Exact length of each trench 5�-y feet
Pump Tank Size . oma. o n gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 2y inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. � inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
12 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondeatand the tyttem type tpeciled it different from the type rperiled on the app/icaden. / accept the rpecifcavonr of this permit
Owner/Legal Representative Signature: Date:
This Construction Autiwrixation is subject to revocation if the site plan, plat or the intended use changes. The Construction AutAomation shall not be transferred when there o a change in ownership of the site. This
Construction Authorization is subject to compliance with the provision of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag d Y� Date: t-1 -2t?- t
Construction Authorization Expiration Date:
HTE# Iib 5 3Sq` L Permit # Z,98 (/(o
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: cj�_Icb6 aln -577W c- ."
ISSUED TO: SUBDIVISION OXfd.u>1 1A)W,0S LOT # ie
5
Authorized State Age,--, ��,p„ � Date: 4 -2-6- 1 t,
23' 1
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: S /"'"
Address: Date Evaluated: if _Z& -fib
Proposed Facility: -,jC7?6 Design Flow (.1949): 3G-0
Location of Site: ,� Property Recorded:
Water Supply: L7 rublic❑ Individual ❑ Well
Evaluation Method:❑ager Boring ❑ Pit ❑ Cut
Type of Wastewater: EI -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
Restr
Horiz
1 2
e
L o a
0_3t,
SL
/
tL
kL.
3
X41
a 3u
srK'
3a.tia
�Xl..
fL�.l?
44-v 6' 3-t
Description Initial Repair System Other Factors (.1946):
System Site Classification):
Available Space (.1945) Evaluatedted B By:
System Type(s) 2 "t ✓` Others Present:
Site LTAR