IPAC RHTE# Harnett County Department of Public Health 3 p 1 3 2
ImWrovement Permit
A building permit cannot be issued with only an Improvement Permit
/'� aa PROPERTY LOCATION: S N ct
ISSUED TO: "f e-0�v 5s ova W v w bas SUBDIVISION T .a So E, to �f a`6 LOT # 1�
NEW $< REPAIR ❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `' i fl � 5
Proposed Wastewater System Type: t?umq+To Wily 146auGLo, 5m�3.
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: Q max
Basement ❑Yes 'KNo
Pump Requiredl ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -U� Public ❑ Well Distance from well feet Permit valid for. 'five years
Permit conditions: I ❑ No expiration
Authorized State Agent: r Date: 6 1-.\s I )4 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees u care of other permits. The permit holder is resp nsible 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 Imil3immosent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the lams 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 Pules .1950, .1952, .1954, .1955, .1956, .1951, .1958. 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: L Nd—C-o GM—, QM �Vl sFJLS
PROPERTY LOCATION: o aQ 0Q.
SFp CIS �6 t q� SUBDIVISION N rN 415 w PON LOT # fs�
Facility Type: � New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'R No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pym—,EI 9.SY0 9-6"Cect", SvatFm (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
�v nP jo 'ZIz Y, "lcjSyq (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size A DO tti gallons Exact length of each trench '.�.3 O feet Trench Spacing: Feet on Center
Pump Tank Size oo gallons Trenches shall be installed on contour at a Soil Cover. t inches
Maximum Trench Depth of: % inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4" AW. 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions:
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: l understand the ryatem type rpeciled /r different from the type ipeciled on the application. l accept the rpecilcadont of this permit
Owner/Legal
Date:
inches total
this Lonstructum Authorization is subject to re n if th . s pian, pla4 or the intended use changes. The Construction Authorization shall not be conferred when there is a change in ownership of the site. This
Construction Authorization IkVkct to compliance a "o a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent: Uo Date: Ckl T 8
Constru Iau Authorization Expiration Date: �-) a
HTE# ��--- )02 Permit # 3013a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Sv -10 ii¢.
ISSUED TO: R Gv�TO"\ �i)v1wQ"5 SUBDIVISION TNG6N QJiWZC LOT # �'
Authorized State Aeen ' »5 �t iyEA �a1Cfi6) Date: I Z1 1
Svd ° pCL
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 Q02t^ Design Flow (.1949):3So��'a
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Methoal;� Auger B ring ❑ Pit ❑ Cut
Type of Wastewater: � Sewage E] 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
jq, s�.y�
58k SGL
I ay2-i� �w
Description Initial Repair System Other Factors (.1946):
System/ Site Classification (.1948): P3
Available Space (.1945) Evaluated By: 131V
System Type(s) Others Present
Site LTAR ��'.