IPAC RHTE# /S—S —?(-, //L Harnett County Department of Public Health 28437
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
��% �_��� PROPERTY LOCATION: HooVcyRd
ISSUED TOO-wloeIglaJ'1�t.��iw�uc/1nr�BDIVISION
7
LOT# t
NEW PAIR 0 , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MM od yf x 72
Proposed Wastewater System T pe: aS% Rcd c{: un Siliev�
Projected Daily Flow: 5/�Al GPD
Number of bedrooms: di Number of Occupants: 8 max
_Oo
Basement ❑Yes
Pump Required: Dyes ❑ No Rlx be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit valid for. El -Five years
Permit conditions:
❑ No expiration
Authorized State Agent::(—� � wa„ C_:f'%/ Date: c% 4J.7/Zoe SEE ATTACHED SITE SKETCH
The issuance of this permit by t HehC altA Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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 provisiom 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, .1957, .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: 11, 5,1 1.,i�A a to /4k4Z PROPERTY LOCATION: �Ttodti/ed
SUBDIVISION LOT # /
Facility Type: call qf X71 21"'New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" ds % Qedu<�'.c tff/e.. (Initial) Wastewater Flow: ri$G GPD
(See note below, if applicable ❑)
a13';"/ rout--" A 4d6% � (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size JOO V gallons Exact length of each trench /Oo feet
Pu Tank Tank Size ! O o 0 gallons
rAc.Qdeq
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions: o.^
Trench Spacing: �_ Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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 ryrtem type spedled is different from the type spedled on the app/kation. / accept the spedhi;a6var of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocition if the site plan, plat or the intended use changes. The Construction Authorisation shall not be transferred when there is a change in ownership of the site. This
Lonetrncnon 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 )tt AI IALHtU 51I1: SKtILM
G
Authorized State Agen • Lw ��fi Date: i /,U/" - 'v
Construction Authorization Expiration Date: 712. z 0 2 a
HTE# /S S-- 3 L 7 6Sl2 Permit # 02 0 7
Harnett County Department of Pnhlic Health
Site Sketch
pp PROPERTY LOCATON:_
ISSUED T0: SUBDIVISION LOT # /
Authorized State Ageiw,<— c .� ���� f Date:f,Z? / a/f'
G�
VC f �o L
l _
Tic' I
Fr�1t
,3 G 4
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: /
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: � Property Recorded:
E
Water Supply: rublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: D'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
�l Yrs
-i
G CI
A'�,t0
its
lz
/Zf
✓� �rP
°127/425
ol-
0'13
G / � i
,/�r�%•t
M V_
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):,P/
Available Space(. 1945) Evaluated By:B �--
S stem Type(s) Others Present:
Site LTAR