IPAC RNTE#I(o- S- 4OQZ Harnett County Department of Public Health 29146
Improvement Permit
A building permit cannot be issued with only a91(d,�'II�mprovement Permit
pp PROPERTY LOCATION: `lPsX
ISSUED TO: L..Y0.A D0 LizL<7b NC. SUBDIVISION C.caROr—) a L-il LOT # Q_
NEW REPAIR 4 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S — `UJ "1i Cf
Proposed Wastewater System Type: 35e(e Sy er,o 5y5;
Projected Daily Flow: GPD
Number of bedrooms: > Number of Occupants: IG max
Basement ❑Yes XNo
Pump Required: []Yes ❑ NoMay be required based on final location and elevations of facilities
Type of Water Supply: El Community ;. Public ❑ Well Distance from well _) 0co- feet Permit valid for. Five years
Permit condifict - ❑ No expiration
Authorized State Agent: Q C I Date:SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e of other permits. The permit holder T res nsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation it the site plan, plan. or the intended use changes. The Impro ment 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 .1958, .1951, .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.f v StOS6 \N G PROPERTY LOCATION:
SUBDIVISION C o R p s N 1P 1 -PW- E S LOT #
Facility Type: Q C��' �Or� New ❑ Expansion I—]Repair
Basement? El Yes No Basement Fixtures? El Yes � No
Type of Wastewater System** , Ste% w �e� uc.: 5 v a S7n : C (Initial) Wastewater flow: �� C7 GPD
(See note below, if applicable ❑)
_2-Soj d RG -U . Sys (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size S t7c, 0 gallons Exact length of each trench a2.5 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. 14 --L'20. inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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: /understand the syrtem type specified is different from the type rpecifed on the app/ication. / accept the rpedfcadvas of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorisation is subject to rev a site n, 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 Authorisation is to complimre wi roast laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: _ Date: ,
Construct) uthorization Expiration Date: _ y 2�
HTE# QD-SQ Permit# a`ilLj
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: OAK 1N C,
ISSUED TO: SUBDIVISION L,,tie. LOT #
Authorized State Agent Date: �� \� l"l
�J�3
G>a2oL\nA� wP�
J
i7Q.y SJ 1FF�Zk10 cn S�.A`rJ Int G
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
On -Site Wastewater Section
e
Property ID:
c--�� Lot
�\ File #:
SOIL/SITE EVALUATION
Code:
for ON-SITE WASTEWATER SYSTEM
Owner Applicant:
_
Address: Date Evaluated:
\ -
Proposed Facility: 4t Design Flow (.1949):
�1 °( J Property Size:
Location of Site: Property Recorded:
'E\
Water Supply: Public❑ Individual
Evaluation Method Auger Boring ❑
El well ❑ Spring El other
Pit ❑ Cut
Type of Wastewater: 'Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1
OTHER
.1940 1941
L Landscape Horizon
PROFILE FACTORS
E Position/
.1941
Depth Structure/
# Slope (N.) Structure/ Consistence
.1942
Soil .1943 .1956 .1944 Profile
Wetness/
Texture Minemlo
Color Soil ClassSapro Restr Class
D th IN. Class
Horiz & LTAR
a1� G i
'� � c33x cLL
!J$ 3G SL
3E,�Y Sax sc
1� •.� SS+c G �� $
do dP 6 L
�TY36 C .SGL
C L Ire
Description Initial Repair System
Other Factors (.1946):
AvailaS ste
S as) e .1945)-
OJ
Site Classification (.1948):
S stembT e(s)�
Evaluated Bye
Site LTAR , �,
Others Present:
asp a+�Q6v�3bj a4T N�