IPAC RHTE#—3T5SS2` Harnett County Department of Public Health 29097
Improvement Permit
A building permit cannot be issued with only an Improvement Permit _
// PROPERTY LOCATION: <51-17 U T- Chi D �G c3��Yl,Cnmr�
ISSUED TO✓�1/�1HQ/ �OY% SUBDIVISION LOT #
NEW REPAIB C] EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V 7, 5 --�
Proposed Wastewater System Type: Z
Projected Daily Flow: A190 GPD
Number of bedrooms: _,� Number of Occupant: O max
Basement ❑Yes LAS No
Pump Required: ❑Yes ❑ Nofi7M a required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
2 -Five years
❑ No expiration
Authorized State Ageftr_ J — Date: /t —Z!h-GL SEE ATTACHED SITE SKETCH
The issuance of this permit b e Re th Department in no way guarantees the issuance of odter permit. The permit holder is responsible for checking wish appropriate governing bodies in meeting their requirements. This
site is subject to revocation LOmrhie plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a dtange 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
squired for Building Permjt)
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .19% 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 PROPERTY LOCATION:a 11-70f0an ��,c r�rrrr+bCO %l+d
SUBDIVISION LOT #
Facility Type: 12" New ❑ Expansion ❑ Repair
Basement? ❑ Yes YNo Basement Fi tures? ❑ Yes 94o p
Type of Wastewater System** B) Wastewater Flow: yr2b GPD
(See note below, if applicable ❑)
7?� f (JLY7.f(1� �—i2�sapair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 19,66 gallons Exact length of each trench AC feet Trench Spacing: Feet on Center
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of: 12 -->t (I inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover. _e inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Aggregate Depth: Z inches above pipe
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.
) 7 � inches total
**If applicable: / onderaand the ryrtem type fpeciled /r diKerent from the type rpeciled on the app/ication. / accept the Jpedi5caeonr to/thin 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 Authorization shall not be transferred when there is a chap in ownership of the site. This
tonatmctlon Aumataation is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Sta nc Date: 4
Construction Authorization Expiration Date: st Zt
HTE#/6-,5'-35355`Q Permit # 2-70 ! -7
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: -5yL-li6S U t Fcs s � /2b
ISSUED TO: SUBDIVISION LOT #
Authorized State ii Date: l' Z1 —/(0
11�
NGA-
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11b� 01I> F/a%GCj/[�nitjQ-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:,'
Address: Date Evaluated: 9- Z:7 w
Proposed Facility: Design Flow (.1949): -,25b..0
Location of Site -Property Recorded:
L -I
Water Supply: rublic❑ Individual ❑ Well
Evaluation Method:❑ -A-u—ger Boring ❑ Pit ❑ Cut
Type of Wastewater: -0-sewage ❑ Industrial Process
Sheet:
Property ID:
Lot k:
File p:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
[
.1940
SOB. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
M
Landscape
Positions
Slope %
Horizon
Depth
(In.)
.1941.1941
Structure/
Texture
Consistence
Mineral
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sap_
Class
.1944
Restr
Horn
Frofde
Class
& LTAR
L
5L.
Cz /) Stj P
Z° -4L
5c -e t
363IC3-,
k 40"
J
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. Evaluated By:
System T s Zh-x Others Present:
Site LTAR