IPAC RHTE# Harnett County Department of Public Health 29433
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: IVvasc�y {Z o
ISSUED TO: Giz-c.p C—o s51n ,C:7�pyL SUBDIVISION H1005� LSav�s LOT# G°S
Type of Structure: SFP (3 G
NEW REPAIR ❑ EX�JSION ❑ Slte Improvements required prior to Construction Authorization Issuance:
x 3 '
Proposed Wastewater System Type: 3 S°/o c-�ucr.sos`s
Projected Daily Flow: 3 b O GPD
Number of bedrooms: `3 Number of Occupants: b max
Basement ❑Yes '�No
Pump Required: ❑Yes ❑ No ,XMay be required based on final location and elevations of facfllnes
Type of Water Supply: ❑Community
Permit conditions: Public ❑ Well Distance from well feet Permit valid for: ' Five years
—�Zz-- ❑ No expiration
Authorized State Agent:: QT1� �Date: 2--7 s SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permiermit holder is nsponsible far checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoation if the site plan, plat or the intended use changes. The Improveme Permit 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, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 arc incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: '\-I C6t,i e o C-0 e5dto v, 02 1 Lv PROPERTY LOCATION:)ve s
facility Type: SUBDIVISION _1s,o) 1 ]- SEs LOT # 6
New ❑ Expansion ❑ Repair
Basement? ❑ Yes -J�<No Basement fixtures? ❑ Yes ]X No
Type of Wastewater System" 'a5°Ir 62cov e,<t.v,� (Initial) Wastewater Flow: 3� 0 GPD
(See note below, if applicable EI)
�S V 0 QCs Sy' (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t -b o o gallons Exact length of each trench -L6 O feet
Pump Tank Size s ooc) gallons Trenches shall be installed on contour at a
�F raCEoGo Maximum Trench Depth of. 16 inches
(Trench bottoms shall be level to +/.I/4" ntaQ,t
in all directions)
Pump Requirements: h. TDH vs. _ GPM
Conditions:
Trench Spacing: "I Feet on Center
Soil Cover:inches m)",mucn
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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.
"I( applicable- / undersand the system type specifled is d%fent /fpm the type speafred on the app/iration. / accept the soealcationJ o! this permit
construction Authorization is
u the intended use changes. The construction Authoriution shall not be Isaun en
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: 0&')� Date: 3
Cons Iron Authorization Expiration Date:
when
Date:
SEE ATTACHED SITE SKETCH
HTE# Permit # Zd i33
Harnett County Department of Public Health
Site Sketch n
PROPERTY IOCATON: N�strT.y L
ISSUED T0: G zz C a �+w a c� c T v N L SUBDIVISION
Authorized State Agent: (itaxS a
y�s�N�6N'i
I )
A'c�A 11
� � t
11 \
010161J0>_ra 09-kg6
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
PG'L �,V\S 30 a
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: s�'� Design Flow (.1949):3 "��, Property Size:
Location of Site:Property Recorded:
Water Supply: Public Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method, Aukg Boring El pit E1 cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Rear
Horiz
Profile
Class
& LTAR
)`
sc.L_
Vz- 41`X
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):QS
Available S .1 (1945) Evaluated By: d(
System T e(s)!1
Site LIAR q -Z
Others Present: 014 1,r