IPAC#J 2, - s -2910 Harnett County Department of Public Health
Improvement Permit 2 6 81 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /
ISSUED TO- - 5x/~Aj mi=l , j ' r l7 y, SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily flow: ~--c. GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes , Z No
Pump Required: I es ❑ No ❑Ma required based on final location and elevations of facilities
Type of Water Supply: F-1 Community 2 Public ❑ Well Distance from well feet Permit valid for: 12-five years
Permit conditions: ❑ No expiration
Authorized State AgenL ( 6121 Date: 1 P - /L SEE ATTACHED SITE SKETCH
The issuance of this permit by tt alth 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 t 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 .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: PROPERTY LOCATION: J_ G c1 r
SUBDIVISION LOT #
Facility Type: a7 /New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes YN o
Type of Wastewater System** Pf1 x,_0 '-ayraU ~t LE ,-tl= (Initial) Wastewater Flow:. :56 GPD
(See note below, if applicable t
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /Cc a gallons Exact length of each trench Z -7 0 feet Trench Spacing: Feet on Center
Pump Tank Size j r 0 0 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. P-) 1Y inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions:- inches total
WATER LINES (IN(LUDING 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 specired is different from the type specified on the application. / accept the specifications 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 ownershin 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 iKFTr..H
Authorized State nt: . Date: l2
Construction Authorization Expiration Date: t - /7 -17
HTE# /Z ' 2$14,c Permit
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON 5;W11! 6,',1 - '
ISSUED T0: 13 v X l J)15+'e-,: SUBDIVISION LOT # ,
Date:
Authorized State Aged'
t
/ try ~ rte
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: J-47-IL
Proposed Facility: Design Flow (.1949): 3~,
Location of Site: Property Recorded: C)
Water Supply: ~,PublicE3 Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ pit ❑ Cut
Type of Wastewater: G' Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
SOIL MORPHOLOGY
OTHER
L
Landscape
Horizon
.1941
PROFILE FACTORS
E
#
Position(
Slope %
Depth .1941
(In.
Structure/
.1941
Consistence
.1942
Soil
Wetne
/
.1943 .1956
.1944
Profile
file
Texture
Mineralo
ss
Color
Soil Sa ro
D th IN. Class
Restr
Horiz
Class
& LIAR
~
ero_ 6A fos.A/ a
Liz 5(_L_
0 .
/z 3c~ s~~
f
SZ"
32-'
3Z
L
56 L
k'5
3Z
-75
Description
Initial Repair System Other Factors (.1946):
Available S ace .1945)
S stem
Site Classification (.1948):
System T
Site LTAR
e(s)
-
Evaluated By:
Others Present:
r