IPAC RHTE# Ile --5- ��)I1fl- Harnett County Department of Public Health 29021
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
I� PROPERTY LOCATION: 41C W y 2C— q,
ISSUED TO: q,%C;"o,cLO (��v -BSc f4 SUBDIVISION — LOT #
NEW REPAIR ❑ EXPAN ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: OC!S - Cvo q v b iL A,3d2
Proposed Wastewater System Type: 2 S .! 0 0.Ecya—a o N 5 : Fiwx
Projected Daily Flow: L bO GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Alto
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community W Public ❑ Well Distance from well Loo feet Permit valid for. Five years
Permit conditions _ ❑ No expiration
Authorized State Agent: \ wRLH7 Date: I L6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iuua other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site 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, .19S7, .1954, ASS, .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.
te
ISSUED TO: F N N "'5TESZ, PROPERTY LOCATION: t� 1 6 \4 t R-f—
� SUBDIVISION — LOT #
Facility Type: �R o GE � '� J�New ❑ Expansion ❑ Repair
Basement? ❑ Yes -'15k No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** 2,5��. PE.ovc,,c\ e, „y Z!> -'i"J r G—n (Initial) Wastewater Flow: Loo GPD
(See note below, if applicable ❑)
s
Conditions:
Trench Spacing: Feet on Center
Soil Cover. ra inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / ot9derstmd the .ryttem type spec/led is different from the type rpeci§ed on the app/kation. / accept the rpecilcatianc of this permit
Date:
This construction Aut uhect to maadon if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Ruth, a alum is subject to amp iin the.pLisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ¢mow Date: t q1 G
Authorization Expiration Date:
Q'so, Sy 3 . (Repair)
Installation Requirements/Conditions
Number of trenches D.
Septic Tank Size S-ood gallons
Exact length of each trench Sc!feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of.- 19 inches
(Trench bottoms shall be level to +/-1/4" 10
in all directions)
Pump Requirements: ft. TON vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. ra inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / ot9derstmd the .ryttem type spec/led is different from the type rpeci§ed on the app/kation. / accept the rpecilcatianc of this permit
Date:
This construction Aut uhect to maadon if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Ruth, a alum is subject to amp iin the.pLisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ¢mow Date: t q1 G
Authorization Expiration Date:
HTE# JC S` -..� I 1 (L Permit # x9Q50
Harnett County Department of Public Health
Site Sketch (�
PROPERTY LOCATON: y If. W
ISSUED T0: R�G1e� �P�L 5�6cL SUBDIVISION LOT #
Authorized State AgentYER SOLcSDOc15) Date:
NDnE
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 0 Design Flow (.1949): 1q Property Size:
Location of Site: `r't 9K'-' " Property Recorded:
Water Supply: '13Tublic❑ Individual ❑ Well ❑ Spring
Evaluation Method: ff�Auer Boring ❑ Pit ❑ Cut
Type of Wastewater: "s Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
L
E
p
.1940
Landscape
Position/
Slope %
Horizon
Depth
(in.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Pmfle
Class
& LTAR
.1941
Stmctund
Texture
.1941
Consistence
minenilogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Salim
Class
.1944
Raft
Horiz
1
LS
0-Q_
=5�
S3>z L
�2 S
cR 36 r
Sz
3 IN
Description Initial Re it System Other Factors (.1946):
System Site Classification (.1948):
Available Space( 1945) Evaluated By:
System Type(s)
1 S O Others Present:
Site LTAR ; 7