IPAC RHTE# 1i-5-414'%Ok Harnett County Department of Public Health 29736
Improvement Permit
A building permit cannot be issued with only an Improvement ermit
PROPERTY LOCATION: O acs �7
ISSUED TO: H x �A CO"15CQ.V t~s o QZ1 SUBDIVISION S) w <m n ss C' LOT # M4
NEWX REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SVO (446n1
Proposed Wastewater System Type: FumNP \ a 5s% to PP—ooczi-onv
Projected Daily Flow: 'b6O GPD
Number of bedrooms: 3 Number of Occupants: Co max
Basement ❑Yes '�KNo
Pump Required-.Ves ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent: —`A 5 Date: 1.. L 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department no way guarantee is cafe of other permits. The permit holder is resp 2 checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plan, or the intended use changes. The pent 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, .1952, .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: 'h i Co sCLu Cr vtt,5 PROPERTY LOCATION: Z)a" Rmc>
SUBDIVISION 0aa4t-,oeST LOT # S8
Facility Type: 8c0(2a0 x5AD New ❑ Expansion ❑ Repair
Basement? ❑ Yes A No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** AS'%e REOVC;11Q4" cJyStEtn (Initial) Wastewater Flow: 3%O GPD
(See note below, if applicable ❑)n
pts tAq i o Z -0o Rte. Sys . (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size s o c o gallons Exact length of each trench V8 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 1$'a'i inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. 6—T�k-- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / underrtand the tyutem type ipetiled it different from the type rperiled on the application. / aaept the fpedlICatianr of djir permit
Uwner/Legal Representative Signature: Date:
This construction Authomatmn o su tmn d the site plan, plat, or the intended use changes. The Construction Authorization shall not he transferred when there u a change in ownership of the site. This
construction Authorization u u to compli t s of the laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Pla L` Date: 10 n
Con ion Authorization Expiration Date: L aZ1
HTE# I-� rJ'L11�`�O(L
Permit #
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LO(ATON: OGS
ISSUED TO: i x aVtis09-S SUBDIVISION �r, LOT# S`3
Authorized State Agent: -A Date: t 4 a t 1
to0
oaw(-
aao�
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:
Proposed Facility: pQ,.c� Design Flow (.1949): 36C� 1
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑( Auger In ❑ Pit ❑ Cut
Type of Wastewater: - Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
'
s
s -,A
G-5
v� us j p
'5
31-W-\
Description Initia I epair System Other Factors (.1946):
S st m Site Classification (.1948):$-5
Available Space(. 1945) Evaluated Byr _\
System Type(s) u c Others Present:
Site LTAR _� -2--