IPAC RHTE# 116- 5 7Q Harnett County Department of Public Health 28911
Improvement Permit
A building permit cannot be issued with only an Improvement Permit n
t— (� PROPERTY LOCATION: T'aOM9r:a0al 1-P
ISSUED T0: So yia Coo'Etbna (7CNc-Ar> ... C0 N. SUBDIVISION LOT #
NEW ' REPAIR ❑ EXP!J10N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCP OL2 � 5I
Proposed Wastewater System Type: 3—T�/a QCAVC; t ens r s C --,q
Projected Daily Flow: 7- x-70 GPD
Number of bedrooms:- �Nuimber of Occupants: Li max
Basement ❑Yes 10
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: �w Date: b SEE ATTACHED SITE SKETCH
n oo
The issuance of this permit by the Health Department iway guanntees ame of other permits. The permit holder is responn le far checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation H the site Oak plan, 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 .1958, .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 n
ISSUED TO: �oy'a i v Ccy si oc G6r t�4i!_eo� PROPERTY LOCATION: -T-
ISSUED Q o*>So N \� p
/_ SUBDIVISION LOT #
Facility Type: SC—nUi no 'XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes -'[Sk No Basement Fixtures? ❑ Yes 'X No
Type of Wastewater System"" X5'1 o VGwC;7cN VgJ Sy3 G -r (Initial) Wastewater Flaw: �� GPD
(See note below, if applicable ❑)
S �° �C9vG s5 S�5 (Repair)
Installation Reg uirements/Conditions Number of trenches I
Septic Tank Size i00 Q gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench 150 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of %%-a1 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: 1 Feet on Center
Soil Cover. nches
(Maximum soil cover shall not exceed
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.
inches below pipe
inches above pipe
inches total
**If applicable: / onderrtand the s}rtem type spedled is different from the type spedled on the app/icadon. / accept the spetibcations of this permit
Date:
This construction Authorization is subject to revaca she site n, plat or the intended use changes. The Commonness Autharnation shall mt be transferred when there is a change in ownership of the site. This
construction Authorization is subje compliance wh a P--s-k-rife4e and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: tpL Date: 6 e1 ) /.
Constr-ucb4 Authorization Expiration Date: l.`1 I Z
HTE# ) ';� - 5�-
Permit # QL i
Harnett County Department of 1'nblic Health
Site 'ketch
PROPERTY LOCATON: S I i O MP 50 N
ISSUED TO: Sov ; GGSUBDIVISION LOT #
Authorized State Agent: - S-6 L io1 39UIS Date:6_Tr
R
Department of Environment, Health and Na, . Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: rl,% Design Flow (.1949)P411s J
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual '❑ Well
Evaluation M o� Au Bo ' g ❑ Pit ❑ Cut
Type of Wastewater:\ ewage ❑ 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
& LIAR
.1941
Structure!
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
NI.
.1956
Sapro
Class
.1944
Restr
Horiz
r_,q
11
is
Ss��Uty
�'L s6 )�
PS -S
SZ
CF7L KSfsP
1 a ud
V KSc _
lZ _*'W
Description Initial Rair System Other Factors (1946):
5 sten Site Classification'(.] 948): Q1
Available Space (.1945) uated By(
System Type(s) iLl Others Present:
Site LIAR + +�