IPAC RHTE#&5— 7 4,f, Harnett County Department of Public Health 28981
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
S _ PROPERTY LOCATION_ i 9 21J-KIQ36 6- Z-Cik�"Q-6
ISSUED T 'I/7ci• T� SUBDIVISION LOT #
NEW REPAIR 0 EXPANSION El
Type of Structure:
Proposed Wastewater System Type: 2c"S`2�Y2Q��
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes10 No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Oes ❑ No ❑ May be required If on final location and elevations of facilities
Type of Water Supply: El Community ❑ Public Ca1/Well Distance from well l O (i feet Permit valid for.
Permit conditions:
L9'Five years
❑ No expiration
Authorized State ent- ' 6 1 Date: Gi —/ —/ /�� SEE ATTACHED SITE SKETCH
The ismance of this permit by a IJ alth Department in no way guarantees the issuance of other permits. The permit h�s resp.^ nsi�checking with appropriate governing bodies in meeting their requirements. This
site is Abject m revocation if me plan, pla4 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 imtallamm requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attachedsystem layout
ISSUED Tft �� 5 ,V d PROPERTY LOCATION:�t_ dGT-LJZc 0-�oFZ
SU DIVISION LOT #
Facility Type: New Expansion ❑ Repair
Basement? ❑ Yes IJn , Basement Fixtures? ❑Yes No
Type of Wastewater System** ""P 4-) L51'%, ?, c. (Initial) Wastewater Flow: 3CO6 GPD
(See note below, if applicable ❑)-) /� drl
f �/ L6Z161—e (Repair)
Installation Re uirements/Conditions U bero-'0thes 5
Septic Tank Size �ons Exact length of each trench l04n) feet Trench Spacing. Feet on Center
Pump Tank Size �Q/L Ilons Trenches shall be installed on contour ata Soil Lover:nches
/vD Maximum Trench Depth of, 2? 7 inches (Maximum soil cover shall not exceed
2 {�A (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
far n I directions)
Pump Requirements: ft. TDH vs. Q k/a D inches below pipe
2y'r Aggregate Depth: 'z, inches above pipe
Conditions: /L 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: / understand the system type spedged is different from the type speciled on the app/icatioa / accept the spedfbironr o/ this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. Thu
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Date: �!—/'1{s
Construction Authorization Expiration Date:
HTE# 14. S-- !;`714&Z Permit # 285gl
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:,�%Iye)l IZA
ISSUED TO:�,7Z? 7 �� �O SUBDIVISION LOT #
Authorized State A29E�i/�(fJi✓i S Date:
r,.
yiavk'Ir—
ry�'4
L/ Q
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOII✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949)-�3-�
Location of Site: Property Recorded:
Water Supply: pp y: - ID Public❑ Individual El Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: -0-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/
Cot"
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Resu
Hortz
I t 2-
( N
L— s
c—
�
hu4,Q
30
Description Initial - Repair System Other Factors (.1946):
System Site Classification (.1948
Available Space(. 1945) Evaluated By:-
S stem Type(s) Others Present:-
Site LTAR