IPAC RHarnett County Department of Public Health 28662
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:PUY37 /Sia-4.,,yIse&V-/l.Ei
ISSUED T0-5! �C-X/ /30v/4112e-6-3 XiVC- SUBDIVISION _ tea. /�a> C LOT # if
NEW a REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5
Proposed Wastewater System T pe:
Projected Daily Flow: (AaD GPD
Number of bedrooms: —2- Number of Occupants: max
Basement ❑Yes Olio
Pump Required: ❑Yes ❑ NoC3Ma a required based on final location and elevations of facilities ��
Type of Water Supply: El Community Public El Well Distance from well feet Permit valid for L�'Fwe years
Permit conditions: ❑ No expiration
Authorized State Aged_ Ys.�'� G ///.tt. �s.�/ Date: / Z-- � — / � SEE ATTACHED SITE SKETCH
The issuance of this permit by He n no way gumamees the issuance or other permits The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i the u pm
lan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownhip of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage ratment 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: -STI a�/�fV . sXe - PROPERTY LOCATION: c->Ug37 /R-14tgGeAb
SUBDIVISION #.r?r- per.dr�e LOT #
Facility Type: �f� New El Expansion ❑ Repair
Basement? ❑ Yes ErNo Basement Fixtures? ❑ Yes Imo
Type of Wastewater System** Z55% I�Zer7J ins Af?— (Initial) Wastewater Flow: 34Ob GPD
(See note below, if applicable ❑)
R9si)OLTU 0- IP/�65 (Repair)
Installation Requirements/Conditions Number or trenches Z
Septic Tank Size Dom/ D p gallons Exact length of each trench /5Z feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. _1,� inches
Maximum Trench Depth of: Z2->/8 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. TDM vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFr. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified it diherent from the type spedfied on the app/kation. / accept the specifications 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 change in ownership of the site. This
lamtmmon Authorization is subject to compliance with the prodsions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of tris permit At AI IACMLV lilt )ALUM
Authorized State nt: Date: / Z —@i — i S
Construction Authorization Expiration Date: , z— 7 — Zd
HTE# -45---,-5---3-7L/7//7 Permit # 28b(.2-
Harnett
$b(.Z
Harnett County Department of IlVblic Health
Site Sketcli
/J ��// PROPERTY LO(ATC
ISSUED TO: STA�� L/3UJ/6C¢.ta SNG SUBDIVISION
Authorized State
Date: /2'S—/5'
a&
?Cape -1 eovtr
MMM
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: AI
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method: 13
Type of Wastewater:
Sheet:
Property ID:
Lot #:
File #:
Code:
dicast:
7091�
Date Evaluated:
I
Design Flow(. 1949): ,f49V Property Size:
Property Recorded:
uhlic❑ Individu ❑ Well ❑ Spring
Auger Boring Pit ❑ Cut
Ek5ewage ❑ Industrial Process ❑ 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
]tZ
L_Li
o ?o
ZAuP
Z��3
G-�t
H-
S.P
3�1�
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948): p--iS
Available Space(. 1945) Evaluated By:
System Type(s)) Others Present: ��•'
Site LTAR