IPACHTE# t 5-5-3-)C-20 Harnett County Department of Public Health 28632
Improvement Permit
A building permit cannot be issued with only at�mprovement Permit
�C�U �\ PROPERTY LOCATION: EocL6AC. lin
ISSUED T0: °AN VE c N SUBDIVISION C �OPn_ L-A.s,tcs s a c' LOT #
NEW>( REPAIR ❑ ElSION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5G 9 C -7 O K 55,
Proposed Wastewater System Typen'Jamoxiiii ':;5 �ON
Projected Daily Flow: 36b GPD
Number of bedrooms: `'> Number of Occupants: max
Basement ❑Yes 15<1110
Pump Required: ❑Yes El No XMay be required based on final location and elevations of facilites
Type of Water Supply: ❑ Community )K Public ❑ Well Distance from well 5O0 feet Permit valid for. five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date:\ S Lb SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Delineates in no way guarantees the issuan other permits. The permit hel er is responsible for checking with appropriate governing bodies in meeting Meir requirements. This
site is subject to remotion if the site pian, plat or the intended use changes. The Improveme e,`rmit 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, .1952, .1954, .1955, .1956, .1957, .19S& and .19S9 are incorporated by
references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: SaA,.• E t�1 ���\ PROPERTY LOCATION:
GEQaG\c. �2
SUBDIVISION Cwj-,A2
�r(J ��d x
\--t-�O \NG LOT # a,
Facility Type: SJ� New ❑ Expansion ❑
Repair
Basement? ❑ Yes l No Basement F tures? [IYes AD
/V S
Type of Wastewater System** v(::,5 Icy tJ y976c'l
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) n
Pvrn? i o %
(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 4 00 in, gallons Exact length of each trench b
feet Trench Spacing. Feet on Center
Pump Tank Size S coca gallons Trenches shall be installed on contour at, a
Soil Cover: 6-)� inches
(t 114 LF;u E Maximum Trench Depth oL• \$-3O
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: h. TON vs. GPM
Aggregate Depth:
Conditions:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**I( applicable: / understand the system type specified it different from the type specified on the application. / accept the specifications o/ this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to woo 'f the site Ian, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a Mange in ownership of the site. This
Construction Authorization u sub7leLtmdiana wish`,dq io he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: v 11�' �V Date: ` S' 1 T b
uction Authorization Expiration Date: X1117
HTE# 15-5- 31(- p Permit # c7.lz(-3)l
Harnett County Depailinent of Public Health
Site Sketch
PROPERTY LOCATON: G C-oaG% e- S�>2
ISSUED TO: �oa. MSC" c" `� SUBDIVISION LOT # �-
Authorized State Agents �Ouaca- ab- Date:
aa -2>
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: 3C0 Design Flow (.1949):3 Q��M
Location of Site: 5 Property Recorded:
Water Supply: public❑ Individual ❑ Well
Evaluation Method:Augg 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
IN.
.1956
Sapro
Class
.1944
Rent
Horiz
L_
3�
G s�
vin
33-�-si
`�3 �-
Gn s� )'SP
• 3�
Other Factors (.1946): j
Site Classification (.1948):
Evaluated By: 0<
Others Present: