IPAC RHTE# I�—S-'►50� Harnett County Department of Public Health 29737
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: D_-% Ra
ISSUED T0: N+ Co^�i 2UGT02S SUBDIVISION OAIG.Moy;TS LOT #
NEW>( REPAIR ❑ �a� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: IS 0 3b �` x-��
Proposed Wastewater System Type: �% v1Q.t jtf„d 34 T£M
Projected Daily Flow: 3F,0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: Dyes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community XPublic ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: \c ❑ No expiration
Authorized State Agent: \ Date:F SEE ATTACHED SITE SKETCH
The issuance of this permit by the Resins Department in no way guanntees t once of other permits. The permit holder i respon le far checking with appropriate governing bodies in meeting their requirement. This
site is subject m revocation if the sire plan, plaL m the intended use changes. The mpmyement 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 .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated 4 references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: "+N Co QX C,OCtS PROPERTY LOCATION: 0o«� Rp
SUBDIVISION LDww-r,oN'T LOT #151
Facility Type: SCSJ WL X6a� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No BasementIxtures? ❑ Yes ❑c!v
Type of Wastewater System** QLS e so LSS 0 N `� y5SGr^ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) `
Rt`A• Sy5 (Repair)
Installation Requirements/Conditions Number of trenches l
Septic Tank Size J oo 0 gallons Exact length of each trench 33.0 feet Trench Spacing: 5 Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: 6"'V inches
Maximum Trench Depth of: A"aO inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: (t. TDM vs. GPM
Aggregate Depth:
Conditions:
WATER LINES IIN(LUDING IRRIGATION) MUST BE ]OFT. 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 iostem type specibed it different from the type tpenfred on the app/kation. / accept the specibcationr o/this permit.
Owner/Legal Representative Signature: Date
This Construction An tion is subject to revocation it the site plan, plat or the intended use changes. The (instruction Authorization shall not be transferred when there is a change in ownership of the sin. This
Construction Authorization is s ect to os wi visions of the Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 2Gti5 Date: dD a,C�)7
olstruction Authorization Expiration Date: lara6fsd-
HTE # 17-5—Ha3yC)2 Permit # aC�-) ID) -�
Harnett County Depailinent of Public Health
Site Sketch
PROPERTY LOCATON: Dcat' y9
ISSUED TO: N a �ONs'�2v(:;"o(2S r SUBDIVISION OA�wC,,orLOT #
lA57
Authorized State Agent: C� �1+ i0 �5, � Date: 1b
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: tj Q OR A� Design Flow (.1949): 34jQ g�- J Property Size:
Location of Site: Property Recorded:
Water Supply: uhlic❑ Individual ❑ Well ❑ Spring
Evaluation Method- !SA ug B ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
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
09"10
Vcv S,14R
IV 9
PJ
vPrL ,6 bq
�a
TL -sj
.v s
Description Initial Rep tr System Other Factors (.1946):
S st m Site Classification 1.1948): P1
Available Space (.1945) Evaluated By: mi(
System Type(s) Others Present:
Site LTAR