IPAC RHTE#��/O R Harnett County Department of Public Health 28498
Improvement Permit
building! pe�rm�it�cannot be issued with only an Improvement Permit
�/J �N/Lc II PROPERTY LOCATION�A76 t� FJ 4,F ( �,A4 rIv[!N4 /Cly
ISSUED TO- Ai l✓r�l h S✓. rLtir SUBDIVISION / /TS ek,:j , LOT # Z_
NEW [' �/ REPAIR 13.EXPANSION ❑ Site Improvements required prio Construction Authorization Issuance:
Type of Structure: I>b,)m Pct
Proposed Wastewater System Type: Z5% f%/z4r,�1R 971
Projected Daily Flow: 3(o0 GPD
Number of bedrooms:�� 3 Number of Occupants: max
Basement ❑Yes LST No
Pump Required: []Yes ❑ No ❑Ma a required ba on Final location and elevations of facilities
Type of Water Supply: El Community (blic LWell Distance from well /de" r feet Permit valid for.
Permit conditions:
21 Iwe years
❑ No expiration
Authorized State nt: Date: S —Y —s J� SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way guarantees the issuance of other permits. The permit holder u responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i t e 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 .1958, .1952, .1954, .1955, .1956, AST, .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 T0:/'(/>�d2✓ %Sim [�tIAtXT%�c�/u�/� PROPERTY LOCATION: /743 ,e9glZ±Z �4— /9!�
SUBDIVISION "/7-5 JOT# 7
Facility Type: A t4d 12 New Expansion ❑ Repair
Basement? ElYes 2r' No Basement Fixtures? ElYes 0,
No />
Type of Wastewater System** ztr" 12+�its11Y i—f.GJ Se s�'S� / YUn'sa✓)1 (Initial) Wastewater Flow: 566 GPD
(See note below, if applicable 0)7
1 U Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1006 gallons Exact length of each trench 16o feet Trench Spacing: feet on Center
Pump Tank Size / ody gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2 Y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fC TDR vs. GPM
Conditions:
Soil Cover. _4e _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
7 inches above pipe
17— inches total
**If applicable, / andentand the ryrtem type fpec/fed it different from the type fpec fed on the application. / accept the rpedfcationr of thir permit
Owner/legal Representative Signature: Date:
This Construction Authrimation is subject to revocation if the site plan, plat or the intended use changes. The Construction Authomation shall not be transferred when there is a change in ownership 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 SKETCH
Authorized State enc: Date:
Construction Authorization Expiration Date: S— Y —t S
HTE # /S ' S — --%S)D 1R Permit # 2 Be( S IR
Harnett ConntY Depanlxnent of 1'><ablic Health
Site Sketch
^. PROPERTY LOCATON: 5 -,k -/7z23
ISSUED TO: Ikol/G) --$Z7� i SUBDIVISION t L4Jts (A vsSr05. LOT #
Authorized State A .� Date:
110
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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] I
Address:
Date Evaluated: `I— I y
Proposed Facility:
r) Design Flow (.1949):
Location of Site:
Property Recorded:
Water Supply:
ErPublico Individual ❑ Well
Evaluation Method:[] AQger Bogg ❑ Pit ❑ Cut
Type of Wastewater:
❑"Sewage ❑ 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
1,2
3
L15 40_�
6
Crt�'^�
BIZ
icL
/ Z—
,u ,Sc
)C*t �5 ,
3 4
3
Description Initial Repair System Other Factors (.1946):
S stem / Site Classification (.1948): C
Available Space(. 1945) Evaluated B J
System T s z/ -Z Others Present
Site LTAR