IPACi Harnett SII, Department of Public I:
• n.lm
Improvement Permit
A building permit cannot be issued with only an Im rovement Permi
t
PROPERTY LOCATION: 71 �+�- — tQ.F-G� tL
ISSUED T0: ► G3so� C,z-o '%'
�4 T,*40`% SUBDIVISION y-,�+� 1s -G �Z- LOT # 40
NEW �y° REPAIR ❑ EXP ION 1:1 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S�� (Li`l "'S6z
Proposed Wastewater System Type: SVo v foss -'5—, t~ 14-"
Projected Daily Flow: 3 a ® GPD
Number of bedrooms: 3 Number of Occupants: E' max
Basement ❑Yes -� No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well k IZ)Q feet Permit valid for: Five years
Permit conditions_._ ❑ No expiration
Authorized State Agent:: V � Date: 51 4 1 ] ) � SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees nce of other permits. The permit ho(der is 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 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 taws 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, .1956. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
1
ISSUED TO: G1(3 ! Os.rp�, ASL PROPERTY LOCATION: ����� 4 7, ECRL Dtd-,
;� SUBDIVISION X-, ��, s E6�C LOT # 40
Facility Type: -5yO ��! "5G: / New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Baseme t Fixt s? ❑ Yes �No
Type of Wastewater System** - �® S�y C;-7) CJ3'J ST c Sn (Initial) Wastewater Flow: 3� d GPD
(See note below, if applicable ❑) 1--
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench � `a.CQ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. t 2k 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: un, or G �� �° - N , C. L9 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 is different from the type speciped on the application. I accept the soecipcations of this permit.
Owner/Legal Represe nature: Date:
This Construction Authorization is subject to revo io ' e si lan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is su��mpliance wit rovisio a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: `� \v`y Qr--)AS Date: 511)11,
Constr ion Authorization Expiration Date: fJ Q0
HTE# � 5 — Ci14'� Permit # ` S-
arett County Department of Public Health
Site Sketch
ti PROPERTY LOCATON: %.) -qN, s C E -
ISSUED T0: 65osa �"�''z a q", SUBDIVISION Y -.i w a ,% C' -,K- LOT # L^
Authorized State Agent::�\ St T 5 �0L+ -)151 , �a—) Date: S I 'S
-* S_i5 TF - C=L �C-,CCS Q U
�') , N , Sr --G �(- () Q-
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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
[:D: th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
r, v
-V p'>dv
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR