IPAC RHTE# 115 "3-A' Harnett County Department of Public Health 28616
Improvement Permit
A building permit cannot be issued with only an Improvement Pgt(�"i[ t� -
PROPERTY LOCATION: SoystlyCy6n '4.3�
ISSUED TO: SCrc �� Gl\c 2�50sd SUBDIVISION LOT #
NEW REPAIR ❑ EXPAN31f1(7 ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �� l�Z-, n6 J
Proposed Wastewater System Type: Qu c W \ e% o
Projected Daily Flow: GPD
Number of bedrooms: umber of Occupants: max
Basement []Yes .No
Pump Required:294s ❑ No ❑ May be req ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Well Distance from well )t CDC) feet
Permit conditions:
Permit valid for. X Five years
❑ No expiration
Authorized State Agent: Date:S S SEE ATTACHED SITE SKETCH
n of
The issuance of this permit by the Health Department in no way guarantees theother permits. The permit holder is rmpon ible 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 shill not be affected by a change in ownership of the site. This permit is subject to compliance with the previsions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The commission and installation requirement of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1951 and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attached system layout n n
ISSUED T0: �G—F� \��cx��LD��%1y PROPERTY LOCATION: S�vS11 Gz K 9
1 SUBDIVISION LOT #
Facility Type: Sc� New El Expansion ❑ Repair
Basement? ❑ Yes `&< No Basement fixtures? ❑c �Yes No
Type of Wastewater System** pv MP �d d �m�r S)�i5 -'Jnl (Initial) Wastewater Flow:3jo� GPD
(See note below, if applicable ❑)
V v<nP d 3S e (Repair)
Installation Requirements/Conditions Number of trenches N
Septic Tank Size I oo a gallons Exact length of each trench `00 feet
Pump Tank Size scc N d—, 6 gallons Trenches shall be installed on contour at a
-W TA N I M UM S , -4G 5 S ao 001:0 Maximum Trench Depth ofi 60' -a0 inches
m �,� s aE P64� NpPN ON (Trench bottoms shall be level to +/-1/4"
P U " S t �� in all directions)
Pump Requirements: GC) h. TDM vs. GPM
Conditions:
Trench Spacing: l Feet on Center
Soil Cover. 6 1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI[ SYSTEM OR REPAIR AREA.
No UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / nadeatand the tyrtem type tpeci6ed it different from the type specified on the app/kation. / accept the specifications ofthis permit
Date:
This construction Authomation is subject to moo ite plan, plat or the intended use flanges. The construction Authorization shill net be wanskmd when there is a change in ownership of the site. This
construction Authorization ix-ssv$euLro rompliance - the prow the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: - Date: \ �
(onsirlleWrf Authorization Expiration Date:
HTE# 15 -5-37133 iiz Permit # Q:2b1 6
Harnett County Department of Public Health
Site Sketch n
PROPERTY LOCATON: Sou-iy Q,,-4u�,[��
ISSUED TO: Gt fl"�>� Q� d S4 SUBDIVISION 11 LOT #
Authorized State Agent: +5 lyLivGQ Date: VA I
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
❑ 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
StmctureJ
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
f
s 5
s
f5
G 3a
7j� nCL
Ck, -A6
P5 r
C"
� �, �
ti�
--1 46)9
PS�t
Description Initial Repair System Other Factors(.1946): 0.
S ste Site Classification (.1948): 3
Available Space(. 1945) Evaluated By:K
System Type(s)) Others Present: —
Site LTAR