IPAC RRHTE# 09-5C Harnett County Department of Public Health
Improvement Permit Z O 7 0 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: BVCt-Ta.t~sP,~, ~otaU
ISSUED TO: IN $ vt~ 4 ems b%4 9_013S> SUBDIVISION LOT #
NEWX
REPAIR ❑ EXPANSION ❑
Type of Structure:
Mo®. 55'x~ l
Proposed Wastewater
System Type: a °/n 9'kQ'C "off YS Errs
Projected Daily Flow:
~Q GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes
No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes '-K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ~C)C) feet Permit valid for: `Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: '1"1 1) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i ap'c_Other permits. The permit holder is 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 Impro 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 .1950, .1952, .1954, .1955, .1956, .195
with the attached system layout.
ISSUED T0:m~-5 $oET-~+,+C; eta 9--o0c)
Facility Type: V~Op L..55"Kii)) New
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System** 9-ZZ_>vC.K No N
(See note below, if applicable
1, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
PROPERTY LOCATION: ?--).u ,SAN fl
SUBDIVISION LOT #
❑ Expansion ❑ Repair
XNo
ys ,E~ (Initial) Wastewater Flow: 3C® GPD
~.5 7% Y'Zo U G`S > O (Repair)
Installation Requirements/Conditions Number of trenches Li
Septic Tank Size 10T® gallons Exact length of each trench D C)) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1:~ - aQ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: ° 'Z 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization ub lion ifion t n`p1at, or the intended use changes. The Construction Authorization shall not be transferrewhen there is a change in ownership of the site. This
Construction Authorization is omPliance wi ie ons o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: - Date: ~t
Cons 'on Authorization Expiration Date:
HTE# Permit #
Harnett (bounty Department of niblic Health
Site Sketch
PROPERTY LOCATON: ~vca-~~NP.rI ~os~,p
ISSUED TO: 00 SUBDIVISION LOT #
Authorized State Agent-
Date: Q1' ~71
26-1 Li ,
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55 ,
13
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91
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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:
Address: Date Evaluated:
Proposed Facility: 3 SC E Design Flow (.1949):30
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method.:~'eKAuger B ing ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LIAR
~y~c scz...
Rz- ss) sP
a,A~2'1
5S3x Crt._
5
10'12-7~Qi'a~
'P j 3~
s L_
ti 63~
.40
T'l ss~ ty
3 "
5
Description
Initial
Systqin
Repa' System
Other Factors (.1946):
Site Classification (.1948):
Available Space (.1945)
Evaluated By:
System Ty e(s)
Others Present:
Site LTAR
• 3 'w