IPAC RHTE# ISS--S-43g6se Harnett County Department of Public Health 29923
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
[�� PROPERTY LOCATION: y Lbsaf� ez, z L—. � Y2:,rr ri\ . S2 tgi8
ISSUED T0: /b�� YVI a s SUBDIVISION ^P lscc h5 Lc ✓�: n� LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to fanstruction Authorization Issuance:
Type of Structure: 362 140 'X c -f I y S FZSZ-�
Proposed Wastewater System Type: QtZ/i, rla&C.�66n 5. -s .
Projected Daily Flow: 3TC, GPD
Number of bedrooms: 3 Number of Occupants: lc� max
Basement []Yes R 10,
Pump Required: ❑Yes ❑ No May tred based on final location and elevations of facilities
Type of Water Supply: ❑ Community PubliL7 c ❑ Well Distance from well N Pa feet Permit valid for:iEE�FF ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: 6/ G Date: 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 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 in compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1957..1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordana
with the attached system layout
ISSUED T0: V -Q.,,[ C`Y) � PROPERTY LOCATION: L_2_ C ces moo( RA(zb I t
SUBDIVISION C<.�, Acs-
Repair n�: n LOT # xa
Facility Type: 4U`X IS tC7 � El Expansion El Repair
Basement? ❑ Yes G;—Vo— Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 5% (Le (Initial) Wastewater Flow: 3C—& GPD
(See note below, if applicable ❑)
!�&Cl '
/ ",-Y�con i a s _ (Repair)
Installation Requirements/Conditions
Number of trenches 4
Septic Tank Size S (: �7 gallons
Exact length of each trench 046 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 19-, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
1 -, A.le_.
Trench Spacing: c� Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
✓�iA, inches below pipe
Aggregate Depth: r -,i A inches above pipe
CIP tyA- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: l understand the system type specified it different ham the type specified on the application. / accept the specification of dir perm![
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 u 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 Stt AI IACMtU SII[ SKtICN
Authorized State Agent: Date: c'31a519618
x -J C,\./"C-CL,;-,-.)Construction Authorization Expiration Date: 03lo,3/2c1a3
HTE# v2> -,S -L13y'LrL Permit # Rqq aa3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 4a -s&, 2i.x�(Ld• 5214t�J
ISSUED TO: V -e' -A Mcwi SUBDIVISION —C -C, LOT #
Authorized State Agent: Date: r')3 J(Q 3 % an/G
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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: I VGTC (r45Q v3/!S/l am
Address: 4 a C.4�c{,rL� S � _ Dati!'Etvaluated:
Proposed Facility:
R,p� GSj Design Flow (.1949): JU0 CT' >
Location of Site: 15 �ager
roperty Recorded: Sa'%
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: oring ❑ Pit ❑ Cut
Type of Wastewater: ❑ age ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: D 6 W AC'—
El Spring ❑ Other
❑ Mixed
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 (M.)
.1956
Sapm
Class
.1944
Restr
Horiz
L pyo
o-�a
<�e 4,J_
�Y
P)V- c
q4}
44
3
L
G'L sZ_
✓� i<
3
—
3�
�•
la-3�
/>J G
3�
o•f55
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): (�•Gn qty 5 ,4«(Lv
Available Space (.1945 Evaluated By:
System Type(s) 6 b /Lc_ Others Present:
Site LTAR Cn. G 33