IPAC RH T E # M - '162, Harnett County Department of Public Health 29846
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
1� PROPERTY LOCATION: 3 Eh tis StEwp� ( y
ISSUED T0: R 1 Q 1 d `T 1 1 Sia py SUBDIVISION LOT #
NEW REPAIR ❑ EKPJION ❑
Type of Structure: SFO (60 >,6--1
Proposed Wastewater System Type: C.oH v 6 r\ a o N A L,
Projected Daily Flow: 3 in, 0 GPD
Number of bedrooms: a Number of Occupants: 6 max
Basement ❑Yes tK No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes e'15 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public )< Well Distance from well t b0` feet
Permit conditions:
Authorized State Agent:
The issuance of this permit by the Health Department in no way guanncees t
site is subject to revocation it the site pian, plat. or the intended use changes. The Impr
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date:
Permit valid for.
Five years
❑ No expiration
SEE ATTACHED SITE SKETCH
of other persons. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 we incorporated by references into this permit and shall be met. Systems shill be installed in accordance
with the attached system layout.
ISSUED T0: PROPERTY LOCATION: 3p ELA.N5 � t.wwCtf "
/ —1 SUBDIVISION LOT #
Facility Type: 5Fp �� x C' �J New ❑ Expansion ❑ Repair
Basement? ❑ Yes �A No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** Co "N G iA � o rs'NI _ (Initial) Wastewater Flow: 3>n0 GPD
(See note below, if applicable ❑)
L— "TS l V'J tR Z., (Repair)
Installation Requirements/Conditions Number of trenches L -
Septic Tank Size ' v e3O gallons Exact length of each trench °1 O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Ted inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. G 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: / understand the ryrtem type speclfed it different from the type specified on the application. / attept the sperilrationJ of thir permit
Representative
Date:
This Construction Authorization is s*
n to revontipn if she site plan, pias, or the intended use changes. The Consmuction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorisation is subjett to compliance site
of the Laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Us -6 Date: _J
Constift4Wtithorization Expiration Date:
HTE# 3-112 Permit # �`1� X1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 330 CLL15 SSG gA27 Lri
ISSUED TO:L n. -1e `a Nv SUBDIVISION — LOT #
Authorized State Agent: 1r5�oLw£2 7vLr.SDo Date: -A)-wl if
Ptc6i o is 1 i t; T o F) N ALI%(,
p2Alro �� ft.0 t -AY o uS
A,-DCLow)aG w1rN `To SCP4Li,
E LO
� r
� r
Ptc6i o is 1 i t; T o F) N ALI%(,
p2Alro �� ft.0 t -AY o uS
A,-DCLow)aG w1rN `To SCP4Li,
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: .3 (1
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded*
Water Supply: ❑ Public❑ Individual Well
Evaluation Metho�Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: JSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(InJ
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
Rent
Horiz
�S
Vp-) ))j kip
1�-Lla
S3 lc
FtL 55�Sp
3C
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P S
Available Space(. 1945) Evaluated By: (*�
System Type(s) C e'`z VN Others Present:
Site LTAR 3 S