IPAC RHTE# is- s �ra�� �� Harnett County Department of Public Health 28492
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:+�2
ISSUED TO-4,4/eAG'L/ Tll�J SUBDIVISION LOT # �_
NEW REPAIR`❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ?,5°%a TZ&t1J ZJ-L4r' J
Projected Daily Flow: Lel GPD
Number of bedrooms: Number f Occupants: � %- max
Basement Dyes No
Pump Required: ❑Yes ❑ No Ma a required ed on foal location and elevations of facilites
Type of Water Supply: ❑ Community Public Well Distance from well /UO a feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State A L /(,g,�lUg zS/ Date: ) H — t SEE ATTACHED SITE SKETCH
The issuance of this permit be ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for thecking with appropriate governing bodies in meeting their requirements. This
site is subject to revoation a 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 phis permit.
Construction Authorization
(Required for Building Permjt)
The commission and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be mer Systems shall be installed in accordance
with the amthed system layout.
ISSUED TO: /u, aL lam/ rf _ :5'.f PROPERTY LOCATION: iii
// SUBDIVISION LOT #
Facility Type: �`7 New 1/ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes WINO
Type of Wastewater System** �0a 2V>U L-irZr-l-, aiySf-2� (Initial) Wastewater Flow: '1Z0 GPD
(See note below, if applicable ❑)
2--19% TZ&-'D�_(Repair)
Installation Requirements/Conditions Number of trenches Z o,C 3
Septic Tank Size Soli gallons Exact length of each trench ieo Q— Lou feet Trench Spacing: 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. i!�7 inches
Maximum Trench Depth of: Z q 4441' 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 Y inches below pipe
Aggregate Depth: _� inches above pipe
Conditions: /L inches total
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.
**If applicable: / understand the rydtem type rpeaTed it different /rm the type spetifed on the application. / accept the rpechbiianr o/ thin 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 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. At RI IRI.nti) lilt 5111:11.11
Authorized State ent: Date:
Construction Authorization Expiration Date: S—y - 74
HTE#"� �/Z Permit # Z 8 y 9 Z -
Harnett County Department of INibl is Health
Site Sketch
/� PROPERTY LOCATON:/ L66_� %��ifArf J 413ISSUED T0: CA1PA IK6, ar S< SUBDIVISION LOT #
Authorized State L" Date: e/
'JC_. A�8 /!NLi"i_Jr+�. J -f d i- f�
nIYV
V
Sit Zov3
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: ate Evaluated:
Proposed Facility: fOr-i> Design Flow (.1949):
Location of Site:,,/ Property Recorded:
Water Supply: L`J Public❑ Individual ❑ Well
Evaluation Method: E3'Xuger�Bon�qg ❑ 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
Resn
Horiz
I�
Ne, 164V
.3
y�
5L.
ca. rftbw
Lf
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR •✓