IPAC RHTE#I(--53*011 L Harnett County Department of Public Health 28928
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -ZScssc_
ISSUED TO: ) sew" 0r) -1-4 L-C)',a) v SUBDIVISION LOT # a
NEW REPAIR[� EXPANSION ❑
9
Type of Structure: "-LOiG
Proposed Wastewater System Type: e?5 v Ctwe c C 4'i5'7Pin
Projected Daily Flow: 3QZ) GPD
Number of bedrooms: _� Number of Occupants: max
Basement [-]Yes 3 No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes �No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well 1 00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: 1"D Date: 7 10 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Depa ent in no way guarantees the"
f cher permits. The permit holler is res onsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improve lent 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: '\ %c^ o , s'f IL Plow s .,,
Facility Type: Y"To 0 0 C' �-2 %�
PROPERTY LOCATION: �f�C
SUBDIVISION T
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Bas m t Fix res? ElYes --,r.V\No
Lor # a:
Type of Wastewater System** a /6 D v C-s� x Oig Sy 5 i Ern (Initial) Wastewater Flow: 36 C) GPD
(See note below, if applicable ❑)
a� �l C, Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size V O OV gallons Exact length of each trench 0 feet Trench Spacing: 01 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: -:Q inches
Maximum Trench Depth of 11 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: Ra C G- S 114 rats.,—TaLGt� C." g Z) rt ori Ixa \1�4 CAD {p inches total
IcLGt ec�-Gs-T-v g& 1e 51?G6vEo ck rjSz- o 400vcs- LReGr�r_tr;
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.
**If applicable: / utvdentand the ryrtem type speeded it different /mm the type speeded on the application. / atrept the Jpecilrations of this permit.
Date:
Construction Audiorinsion is
intended use changes. The Construction Authorisation shall not be tmnslen
and Rules for Sewaee Treatment and Disposal and to the conditions of this
Authorized State Agent: `aV w -v K- Date: '?
ConstrucWtin Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# ",A1\f.. Permit # a`��--s
Harnett County Department of Public Health
Site ,'ketch
ISSUED TO:
PROPERTY LO(ATC
SUBDIVISION
JGSSE
Authorized State Agent• �ot,,�G�.
').6
LOT # --1,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: ?� 1 6
Proposed Facility: Design Flow (.1949):.5
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethodAuger Boring [I Pit
cut
;�
Type of Wastewater: �-IC. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Colin
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
�5
1-3 -i
v7'J,^ P
P 5,
�a
Description Initial Repair System
Other Factors (.1946):
e
S stem
Site Classification (.1948):
Available S ace (.1945)
Evaluated By: ON,
System Type(s) a-7 i
Others Present: —
Site LTAR
'xrn�i. r_ IN�-ra Li0.��UrJ