IPAC RHTE# /S`- S--376782 Harnett County Department of Public Health 2869
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n
PROPERTY LOCATION: hrob M -P
/O;b S, FF 0-/5
f 0
ISSUED T0: n:;,?oyy Aly-- .o =^>r- SUBDIVISION OXFaYW LOT # 37
NEW ii' REPAIR ❑ _ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure
Proposed Wastewater System Type: 7-52ZJh,Uz-61,ai
Projected Daily Flow: GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑YessLT No
Pump Required: Lytes ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community ErPublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
five years
❑ No expiration
Authorized State Agent: : ' G Y' f!/.�.(-firi! " Date: 2 —t z - I In SEE ATTACHED SITE SKETCH
The issuance of this permit by the He th Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it th to 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 Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building 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 be installed in xcordance
with the attached system layout
ISSUED T0: �� a +riE.
PROPERTY LOCATION: c)YBOC�
O
SUBDIVISION tic%'rat",
LOT #
Facility Type:
ER�'New ❑/ Expansion 11 Repair
Basement? El Yes Nom Basement Fixtures? El Yes O No
�
36c�
Type of Wastewater System" tv- , , elm* 7s--
G�Jsd�:vc.SZ4T- 5=v�
(Initial) Wastewater Flow:
GPD
(See note below, if applicable O�
1: -4o 2
K --%p Repair)
Installation Requirements/Conditions B
Number of trenches
Septic Tank Size 1060 gallons
Exact length of each trench -7S- feet
Trench Spacing:
Feet on Center
Pump Tank Size �/ozs D gallons
Pump Requirements: ft. TON vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of. ZZ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover. ,tel inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
L inches total
**If applicable: / understand the system type speciled is different from the type speciled on the application. / accept the rperilcadans 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 he trumlerred when there is a change in ownership of the site. This
construction Authorization is subject to compliance with the provision of the laws and/Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE AIIALHEU SITE SKETCH
Authorized State Aged Date:
Construction Authorization Expiration Date: Z- 1 t --i /
HTE# (5--S`— -3 —7 t-:7�t/' Permit # /
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: �- 1606 0 j Y) 5+� -6-/ n
ISSUED TO: SUBDIVISION OXI�vn LOT # �
Authorized State Agent Date: 2 ^ 7/-2
oA) yw z�"e
o
rot"
Z,'3
oy,cbeb OD"Ib'5 Z/Z,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
S011✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: _
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 3 L�-
Location of Site:,�/ Property Recorded:
Water Supply: �,/ L9 Public❑ Individual ❑ Well
Evaluation Method:[3 Auger BB*ng El pit ❑ Cut
Type of Wastewater: I �1' 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
.1956
Sapro
Class
.1944
Restr
Horiz
GR N5w C�
ScL
L9?
YL
I YN
3,q
L'
D- Z i
SL- U. -T-
/L
Description Initial Repair System Other Factors (1946):
system Site Classification (.1948): I S
Available Space .1945) Evaluated By:
System T s G r2.7 YC Others Present:
Site LTAR '/