IPAC RHTE#_J - '-13)� Harnett County Department of Public Health 29841
Improvement Permit
A building permit cannot be issued with only an ImQQrov��ement Permit
ISSUED T0: ,.-YOU �C PROPERTY LOCATION: ,), Lotp �,p
sS�L^ SUBDIVISION LOT #
NEWREPAIR ❑
Type of Structure:
ERPANSION�
�gK lit rcE. X56 "a.
Proposed Wastewater
System Type: Ca cy6s s a 0 N g V
Projected Daily Flow:
ZIFo0 GPD
Number of bedrooms:
3 Number of Occupants: rnmax
Basement ❑Yes
VNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes >9.No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )�?, Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
,'five years
❑ No expiration
Authorized State Agent:: IG1-1} Date: Z -sc1 %SEE ATTACHED SITE SKETCH
The issuance of this permit by the Nealth Deparhnent in no way`s .
guaranteeRV( carte of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation 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 m 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 conswction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be insulkd in accordance
with the attached system layout.
ISSUED TO: N v Ccv' S)T PROPERTY LOCATION: de10 LOoc etl
SUBDIVISION LOT #
Facility Type: f ry o v ii ORr( �51$� ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System`* _Cooevt.rr,ts, 0 r AL, (Initial) Wastewater Flow: 36y GPD
(See note below, if applicable ❑)
Ct)V4N%. (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size n o O o gallons Exact length of each trench —7 S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 19 • 4,0 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover. a inches
(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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable / undeaand the syr�em type rperibed it diNerent lrom the type specified on the app/nation. / accept the sciech7cat/ons o! this permit
Owner/Legal Representative Signature: Date:
Inn Co st ucton Annunciation is subject to revoaton if the site plan, plat. or the intended use changes. The Construction Authorization shall not b,_;7. when there n a change fen ownership of the site. This
rmnatmrtinn anw,n«„x,,....�.A�^..�:.�_m._._ .. 1. L_ _
., •'ll b., ailu ,w,o mr sewage imminent and uhsposal and in the condition of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ak
Col cgction Authorization Expiration Date: =
HTE# (Z'
Permit # 'a°t`by )
Harnett County Department of 11�iblic Health
Site 'ketch
PROPERTY LOCATON: a90 Loop P,D
ISSUED TO: —�710t CSUBDIVISION LOT #
Authorized State Agent: \� �ty3 �ct t FltTou<,SoO Date: 3lT5 lg
L00e e.D
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
.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 (IN.)
.1956
Sapm
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
o,E
G L
is -36
5 J e c
0
Q,n
G SL.
IC •3')
�3x sa
PS
L'
Situ
s3rc 5CL-
o -)U
G 5L
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (. 1945) Evaluated By:
System T e(s)
Site LTAR Others Present: