IPAC RHTE# 1119-IS-43b4Z Harnett County Department of Public Health 29913
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: a-,,,6 (AIL 143G)
ISSUED TO: e 50yL�Pxt 1 lovC� SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION 11Type of Structure: �s X53 T 5� f32
Proposed Wastewater System Type: —t�5fo ("lJyon Projected Daily Daily Flow: 3C�C-> GPD
Number of bedrooms: ,3 Number of Occupants: Co max
Basement ❑Yes o
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: es
❑ No
❑ May Is red based on final location and elevations of facilities
Type of Water Supply:
El Community
ublic ❑ Well Distance from well feet
Permit valid for. 111- �veyears
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: C1 3 109 1 a616?. 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 object 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 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 .19SD, .1957, .1954, .1955, .1956, .1957, ASS. 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: SciyAA-fc(T F-IOnte,-, PROPERTY LOCATION: nlcA Iki --,5 2.0c- (-SQ,lc13Co)
SUBDIVISION` LOT#
Facility Type: 3(32. :pA x531 5 t—"--- Q,-#e—w— ❑ Expansion ❑ Repair
Basement? ❑ Yes basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pl% Jn - ,C>a Sts- (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
9„m� 26%/o (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I (X>0 gallons Exact length of each trench 10C--> feet Trench Spacing: Feet on Center
Pump Tank Size LOCC-3 gallons Trenches shall be installed on contour at a Soil Cover: Ft) inches
Maximum Trench Depth of-. 'dO inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4” 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM a inches below pipe
Aggregate Depth: tJfh inches above pipe
Conditions: (Lrv)n,�C�n CciC'Jd-, Q—dc,c \ �`�Li 4, "n N/Sc inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified it different from the type spelled on the app/kation / accept the rpealcationc of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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
Construction 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: T%/�si��������/✓ Date:
l�t���rta w L (Z -p, is 1� Construction Authorization Expiration Date:
HTE# I(F)-5-qSq() (Z_ Permit# QC,r,I5
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: Vy1z Mkt e as C%c� C5ti IU3G)
ISSUED TO: Sr v{ ttTba-I% 1 gmx5;, LLt_ SUBDIVISION LOT # t
Authorized State Agent: ��-�—'/�����/fes Date: 0,3-/C,9 I @&iP->
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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
Owner: — Applicant:SU iYvinns off, TVLYiN
Address: MW" ((d " ( Date Evaluated:
Proposed Facility: 3®6L6p;Z�, Design Flow (.1949):
Location of Site: Property Recorded: y1'�
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: uger Bong ❑ Pit ❑ Cut
Type of Wastewater: ,U Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:7�w*
❑ Spring ❑ Other
❑ Mixed
P
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L
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#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcftnw
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Pr'p,i;stanwly S�,tibte
Available Space .1945) Evaluated By:
S stem T e(s)- Others Present:
Site LTAR 0.3 �,3