IPAC RHTE# j —3 9300 /Z Harnett County Department of Public Health 28982
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION>99L. ^l �'T /✓ols-:J¢ya ycipbs
ISSUED TO- l,/s�ss� N . e. SUBDIVISION LOT #
NEW L!! REPAIR ❑a� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z5-%
Projected Daily Flow: :BGO GPD
Number of bedrooms: ;3 Number of Occupants: (o max
Basement []Yes Lal No //
Pump Required: ❑Yes 1-1NofsMM,a�` be required based on final location and elevations of facilities
Type of Water Supply: El Community LAS Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
lice ive years
❑ No expiration
Authorized State A tet:: Date: (!--7&—/(9 SEE ATTACHED SITE SKETCH
The issuance of this permit b HeaIM Department in no way guarantees the issuance o other permin. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation a sin 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 Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in aaordana
with the attached system layout
ISSUED T0: -I �/.C. PROPERTY LOCATION: 5/L/5�1 a rm c X/!r /l/9
�^\ / SUBDIVISION LOT #
Facility Type: `�t—LJ 5d New Expansion ❑ Repair
Basement? ❑ Yes N Basement Fixtures? ElYes No
Type of Wastewater System" (Initial)
(See note below, if applicable ❑)-_,
(Repair)
Installation Requirements/fonditions Number of trenches
Septic Tank Size gallonsExact length of each trench X66 feet Trench Spacing Feet on Center
Trenches shall be installed on contour at a
Pump Tank Size e a D -T') gallons Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Wastewater Flow: 3 /otz) GPD
Maximum Trench Depth of: /Y —� / 2_ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
6 inches below pipe
Depth:— inches above pipe
inches total
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: / understand the system type sped ed is different from the type specified on the application. /accept 89e spec//iratioos o/this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authori ation shall not be tmnshmd when there is a change in ownership of the site. This
Lonstmctlon Authorization It subject to compliance with the provisions of the Laws and Rules for Sewage Imatment and Disposal and to the Conditions of this permit JCC At 111i NIC 311
Authorized State b A47J�fi Date:
Construction Authorization Expiration Date: Pr Z1111 —iJ
HTE# i(o— 5 393oc fL Permit # Z99 02—
Harnett
ZHarnett County Department of l"tiblic Health
Site Sketch
/L / PROPERTY LO(ATON:M/5"41 ��0 )C 140 S )910ISSUED TO: elA35iG Al✓ or /%. C, SUBDIVISION � LOT #
Authorized
�)
I
Date:
RVPS
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:3 5 _A Z 3
Address: Date Evaluated: fi -
Proposed Facility: Design Flow (.1949): `���� Property Sim:
Location of Site: Property Recorded:
Water Supply:0-put lic❑ Individual ❑ Well ❑ Spring
Evaluation Method:�-ggBering ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
Description
.1940
Landscape
Position
Slope%
Horizon
Depth
(in.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minaalo
.1942
Soil
Wetness/
Color
.1943
Soil
W.
.1956
Sapm
Class
.1944
Restr
Horiz
'13
L4�'
O' -2v
SL
7P -v Z
_
z✓
36-39 eZ�y
y
Z
L _4
18
�L
(�
Z �
ZZ[5L-
L
Description Initial Repair Sys Other Factors (.1946):
System Site Classification):
Available Space(. 1945) Evaluatedted By:
System Type(s) 6`�-� Others Present:
Site LTAR