IPAC30043
HTE# Ig'5y3` Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n �/ PROPERTY LOCATION: L r c C4 v s t<y L ,%, a (�
N
ISSUED TO: SL_
HE/ 4 Puri wmcw 6i-► SUBDIVISION LOT #
NEW DR REPAIR ❑ EXPCSION ❑
Type of Structure: nKA , V o 14 x"IG�
Proposed Wastewater System T pe: 2.S"�o 9fir>VcA)0,m SY��6cr.
Projected Daily Flow: GPD
Number of bedrooms:��mber of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >� Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: � -,N5 Date:S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees e , u me of other permit. The permit holder n res onsible 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 p emmt 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 requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems that be installed in accordance
with the attached system layout
ISSUED TO: y �-)P- .20<voV('Vh PROPERTY LOCATION: L16 (2-0V 5y L_ -,w C.
SUBDIVISION LOT #
Facility Type: ha N A o rm L�� G r�f.� New ❑ Expansion ❑ Repair
Basement? ❑ Yes )( No Base1qent Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 2-So/o gGS>UG'f to v (Initial) Wastewater Flow: 3roO GPD
(See note below, if applicable ❑)
r4.S7st RGOVO's 50aJ 00 (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size do 00 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench -7,S feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: A- Q -s inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil (over: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
"'If applicable: / understand the system type speciled is different from the type speciled on the application. / accept the specilcations of this permit
Owner/Legal Representative
Date:
This concoction AuI or ' 6 a to revocation if the site plan, plat or the intended use changes. The Comtruction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authotiza6om jubject to mm ith 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: :!�� P -L --c, Date: 5
Construction Authorization Expiration Date,
HTE#ii'S'i13�
Permit # 300Lt3
Harnett County Department of Public Health
Site Sketeb
PROPERTY LOCATON: LEG Co u w'iY LN � G' o
ISSUED T0: 57 yA2802pU 6� r SUBDIVISION 1j LOT #
Authorized State Agent: w''» C0�`�f1L iG�YS�Ci� Date: 5 I al l i
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: 3 39 ut\ Design Flow (.1949):. Q
Location of Site: Property Recorded:
Water Supply: >ublic❑ Individual ❑ Well
Evaluation Method:�kAug Boring El Pit ❑ Cut
Type of Wastewater: ,Sewage ❑ 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
(in.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralo y
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (M.)
Sapro
Class
.1944
Restr
Horiz
)
�5
a -S
crib
U s
1
vet-N3(vP
S`•b
3a-
S L_
�� t,,l�
5. fo
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): 5
Available Space (.1945) Evaluated By: O<
System Type(s) 3` i. Others Present:
Site LTAR (.