IPAC RHTE# 1-4 Harnett County Department of Public Health 29489
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: LI S 3CG 1 i„ 1
ISSUED TO: nc� P'�,-6sv% SUBDIVISION LOT # I_
NEW IV RE IR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 R 2 S C 65 t X")
Proposed Wastewater System Type: ZSi A.1,c1-: £>5 .
Projected Daily Flow: 34 O GPD
Number of bedrooms: 3 Number of Occupants: t max
Basement []Yes ��
Pump Required: []Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
CYr�.H�a�y bb equired based on final location and elevations of facilities
t r0D11c ❑ Well Distance from well feet
Permit valid for.
! F ve years
❑ No expiration
Authorized State Agent. li g Date:yG / l,3 / LO is -4 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to mutation 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 Permjt)
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: MV APROPERTY LOCATION: Llr 70 1 5 o�kl
SUBDIVISION LOT #
Facility Type: 3132. SFS US'x 66'
) glfew� ❑ Expansion ❑ Repair
Basement? ❑ Yes 0-11—o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 11 -5 6e a.,r >�; <, (Initial) Wastewater Flow: 3(o O GPD
(See note below, if applicable ❑)
rkl NQcvl,on S,xs4.l (Repair)
Installation Requirements/Conditions Number of trenches J
Septic Tank Size t or. c> gallons Exact length of each trench 1 c>n feet
Pump Tank Size gallons Trenches shall be installed okwtourat a
Maximum Trench Depth of: sa . IZ inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 6 inches L A.MWJk k>
(Maximum soil cover shall not exceed SMP02T
36" above the trench bottom) GOvs_2,
inches below pipe
Aggregate Depth: Z inches above pipe
I Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: / understand the satem type specified /s different from the type speciffed on the application. / accept the rpecKcationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to testament 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
tonstrucnon Authorization 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 State Agent: C Date: 6G / 13 / 17
Construction Authorization Expiration Date: 0GS a -3 17 z
HTE# l - S - L/I lI I (L Permit # Z fger
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 0,S 3 0I
ISSUED TO: M1 � (� �,s .� SUBDIVISION LOT #
Authorized State Agent Date: Date: Vra / I zit
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Department of Environment, Health and Natural Resources
- Division of Environmental Health Sheet:
On -Site Wastewater Section Property ID:
'
Lot p:
SOHJSITE EVALUATION File p.
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant rt „da P,-,
AddreSS: wi 1vs 3c; 5 Date Evaluated:
Proposed Of Site:
LA)C332 5 ; o Design Flow (.1949): 36o C.: o Property Size: I FV A
Property Recorded: ke,
waterionofSite:
water supply: ublicQ Individual
Evaluation ❑ Well Q Spring Q Other
Metbod:
Auger �Buri�nY - ❑ Pit Q Cut
Type of Wastewater L�'Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOB. MORPHOLOGY
1 07mm
.1940 .1941
L LaodkW Horizon PROFILE FACTORS
E Position/ Dslb .1941 .1941
d Slope % (In.) SbuaiaN .1941 soil .1943 .1956
Consistence
PYofik
Wetness/ soil Salo
Texture Mbi Cofer
.19H
Rear pass
Class
i L Z`� C--3 SLA � Sr��'r%
Hariz d LTAR
P
0 SPS 6V�2 �1 Li�" 3�
6.3
Ps
3i
U.3
L ZDV b �7 SL
G -3y L i1 J Pf�c S' �/ 3Z" S
y L- Z;6
3Z
8 sf
J
P-Zq
le,� L Z% 6-6 5 IAI.'S'
SY2
nn
V 3
b
l_ u,) G -(s klt"
5
G -5q 4GG C, z Srec
Desctiption Iridal Repair System Other Factors (.1946):
S Site Classification (.1948):
Available S .1945 Evaluated Bar
S
ern s
Site LTAR el 7 Others Present: ^ �' c ✓ r r: t , .t = ,�S