IPAC RRRHTE#/S_-5— 3v,z99/Z/Z/Z Harnett County Department of Public Health 28677
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ j_/ PROPERTY LOCATION:2V457yZ(� Sc
ISSUED T0: i4.ZTLN TUE SUBDIVISION LOT # 5
NEW 12 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: D L_) ✓hh4
Proposed Wastewater System Type: (tB7Y zszcn—
Projected Daily Flow: 31c-0 GPD
Number of bedrooms: 3 Number of Occupants: _max
Basement ❑Yes Lei No
Pump Required: []Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
f3 Mje required based on final location and elevations of facilities
(J Public ❑ Well Distance from well feet
Permit valid for.
2 -Five years
❑ No expiration
Authorized State Ag��a�lua-+�`__' Date: /-/S /G SEE ATTACHED SITE requirements.
The issuance of this permit by Health Department in no way guarantees the Tswana of other permits. The permit holder is responsible Mr checking with appropriate governing bodies in meeting their requirement. chis
sire is subject to revoadon the sip 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 laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Buildine Permit
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall he installed in accordance
with the atmched system layout 1,r
ISSUED TO: PROPERTY LOCATION: r5AI:l d,Z ek% , % rA s /L.)
—/ SUBDIVISION LOT #
2
Facility Type: ��n^ F+ New Expansion ❑ Repair
Basement? ❑ Yes Er No Basement Fixtures? ❑ Yes EPNo
Type of Wastewater System" 25% aw 2YZtbi Sys fes-- (Initial) Wastewater Flow: 3t,_0 GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank SizeD� o a gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
755"026 f7l�i%t/uZe'1--s (Repair)
Number of trenches -S
Exact length of each trench 106 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. ZZ 7/$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
Trench Spacing: Feet on Center
Soil Cover: {r, Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Inches below pipe
Aggregate Depth: inches above pipe
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.
/ Z inches total
**If applicable: / onderrtand the srfstem type speciffed it different from the ttpe rpecifed oo the app/icatioa / accept the rpecifica6fls of this pemtit
Owner/legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plm, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authontation is subject in compliance with the provisions of the Laws and Rules lor Sewage trNtment and Disposal and to the conditions of this permit aCC nl tntnctu al IC anCRn
Authorized State A nt Date: f /'3 —/�-
Construction Authorization Expiration Date: /— / 5 - 2 /
HTE# 3TZ'554L&Z Permit # 2y(,%7
Harnett County Department of Public Health
Site Sketch
A PROPERTY LOCATOR:—s-,eISGZC&
ISSUED TO: Ilir 7N p SUBDIVISION LOT # S�
Authorized State Aa . � Date:
t,.)ic ( (3!4c =r) ✓—y9C k1
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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: V'��, IL
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): -'Z-c_.• �
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
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Resn
Horiz
1 `�o
7E -9n
SC -cr
3L -
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): ,
Available Space(. 1945) Evaluated By: ct
system Type(s) -' z-,{'?�t- Others Present: -,
Site LTAR