IPAC RHTE# /5— = 3-/�� 3R Harnett County Department of Public Health 28803
Improvement Permit
A building permit cannot be issued with only an Improvement Permit 1
e/ PROPERTY LOCATION: 5/L/Y.3 7 /3/J��/fnc�12Z
ISSUED TO. ��,,zg ZNC. SUBDIVISION /�dti�e+— Pa, LOT # qo
NEW 9 REP IR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5 F=.�)
Proposed Wastewater System Type: 253- 2f 0c �f std
Projected Daily Flow: 3 LaO GPD
Number of bedrooms: Z Number of Occupants: ( max
Basement ❑YesNo
Pump Required: es ❑ No ❑ _Ma� a required based on final location and elevations of facilities
Type of Water Supply: El Community I Public ❑ Well Distance from well feet Permit valid for. Fjve years
Permit conditions: ❑ No expiration
Authorized State A n v Date: 21-e C) ' I SEE ATTACHED SITE SKETCH
The issuance of this permit by t H th Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements This
site is subject to revocation it t sin 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 requirements of Rules .1950, .1951, .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 T0: 3 �>LTn1G PROPERTY LOCATION: 5,UV37 ;346*,e— 115!9
SUBDIVISIONi�lil.l f LOT #_
Facility Type: 1'r LST NewExpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes y�Q� �No,,� �\ /
Type of Wastewater System** 1� � Z -5-A YUr d lvUf C -d A-� �hSTaS a_ (Initial) Wastewater Flow: 36ot5 GPD
(See note below, if applicable ❑) ,�Q�, _1
/ hh 2�s P 6�dV�.,' O11at/(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size!%/ d O gallons Exact length of each trench 300 feet
Pump Tank Size / IdO O gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of 70 J/8 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing. 9 Feet on Center
Soil Cover. Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
Z inches above pipe
/7✓ inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / acrept the spechfcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authoriution is subject to revocation it the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when then is a change in ownership of the not. This
construction Authorization is subject to compliance with the provinces of the Laws and Rules for Sewage Treatment and Disposal and to the conditions Of this permit. ltt tel IAMI.# lilt IACII.n
Authorized StateA } f Date: 3—/0
Construction Authorization Expiration Date: y - i 0 - Zf
NTE# /S- S:-- 3-7`4-! 3 9 Permit # 289303
Harnett County Department of Public Health
Site Sketch
GL PROPERTY LO(ATON: 3 73�CC p
ISSUED TO: go, -/V- TAe� SUBDIVISIONA r- "'e -e-4- LOT #yam_
Authorized State A ^ /� Date:
7r c4r1 -�a r� 6yt) .� /��L �n� t4o
Ti0rr -x (0'44�. 4-u .OY�G%✓d-ni�ScT�z j -t4 , . _s(� Lr:.,J�
/i�a,.X-2. O(/"''�j
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
4k, 146Z
Owner: Applicant:
Address: Date aluated:
Proposed Facility: Design Flow (.1949): 3"
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger_B ng it ❑ Cut
Type of Wastewater: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 W.
.1956
Sapro
Class
.1944
Restr
Horiz
2
Y
st_
ti
q-32
SCLGL
r
�J
Description Initial Repair Sys,Wn Other Factors (.1946):
Sys Site Classification (.1948):
AvailableS ace(.1945) Evaluated By: q--2—
System
-Z_S stem T e(s Others Present:
Site LTAR S -. L ls-