IPAC RHTE# / = 36 (oz-� Harnett County Department of Public Health 28474
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION-
ISSUED TO: SUBDIVISION LOT # Z.
NEW ( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15�
Proposed Wastewater System Type: 'Z�, 2 �
Projected Daily Flow:�,� ?b GPD
Number of bedrooms:—�— Number of Occupants: _max
Basement ❑LTJYes No Z
Pump Required: ❑Yes ElNo 12Ma a required based on final location and elevations of facilities
Type of Water Supply: El Community LiJ Public ❑ Well Distance from well feet Permit valid for ZEive years
Permit conditions: ❑ No expiration
Authorized State A nt:: Date: —/ 3 1--/ 2) SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth 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 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: �S'7`i���/ G�� PROPERTY LOCATION: /y/.3_
SUBDIVISION /,t)4 ✓lev_� / _ LOT # Z
Facility Type: { New ❑ Expansion '❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E No
Type of Wastewater System" %M& /2H> -v L4Ze-— v r (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
tZM I'D' b -2 Lr L__4:2> (Repair)
Installation Requirements/Conditions Number of trenches i
Septic Tank Size D 6 gallons Exact length of each trench -742 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Iq p4 -AY 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: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
Tinches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: I understand the system type speciled is different from the type speciled on the application, l accept the specilcations 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 channe in ownershin of the site_ Thit
Lonstruction 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 SKETCH
Authorized State Ag Date: -7 — 3/ /
Construction Authorization Expiration Date: -7 ® 3f--46
HTE# Permit # 21a y 7 y
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:--V—/y/S— ZaS CW-Ue el /Z6
ISSUED TO:l �1— %/2�9,ti1 j SUBDIVISION ��r—., P(✓} r? LOT # Z
Authorized State A nt: Date: '7 `3
Q
NO\
Z u)
&Igkw
®-P 61J Ile
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: 7- 2 3
Proposed Facility: "5� Design Flow (.1949): -i
Location of Site: Property Recorded:
Water Supply: ❑-Pffb-lic❑ Individual ❑ Well
Evaluation Method:❑''Au_ger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sage ❑ 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
Depth (IN.)
—
.1956
Sapro
Class
.1944
Restr
Horiz
42rr
-YZ
5�
kL
12-40
Sc -tet
d`•
�R
3�,. �l.s��
- 3�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated
System Type(s) Others Present: 1
Site LTAR