IPAC 75HTE# I S-5- 43Qgs Harnett County Department of Public Health 29901
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 35 S,J V*cn Plc ce CGIGTV " <,a—I So��
ISSUED T0�Ci Cr�tsxt� 61r�s SUBDIVISION C �r�n P\«! n t� LOT # Re _
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 36C— 44'x4ti I SV�
Proposed Wastewater System Type: -�4SJn
Projected Daily Flow: 3tec> GPD
Number of bedrooms: �3 Number of Occupants: max
Basement ❑Yes Lino
Pump Required: Dyes ❑ NoaCi} y b based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ CommunityubliL7YP c ❑ Well Distance from well feet
Permit valid for.
Ptiyears
❑ No expiration
Authorized State Agent: C/ Go'�i'r±/�!'S Date:03/61 1 �C>IS SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site 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, AM, .1955, .1956, .1951, .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: Lo.mc.o Ca, PROPERTY LOCATION: 3S Sc (UwvC_ 2 �s .
3y� SUBDIVISION C vc-c-2 r\- P\�1 c ti LOT #
f3 t2 3
Facility Type: YY`tx b�'� f� ❑ Expansion ❑ Repair
Basement? ❑ Yes C]—Htf' Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 965 �a„c l c an 5., Ste'sn (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
(IFic�
5b • (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size IS C>b6 gallons Exact length of each trench 5 feet Trench Spacing: c/ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Pump Requirements: ft. TDM vs.
Conditions:
Maximum Trench Depth of: i 6 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
n -"Pc inches below pipe
f` N inches above pipe
tJN inches total
**If applicable: l understand the system type rpedfved it diherent from the type sped#ed on the application. / accept the spealcations of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorisation 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
construction Authoriration is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AIIALNLU Silt IKtILH
Authorized State Agent: /�S Date: <---S mol rd
Ice aJVjf y C v Construction Authorization Expiration Date: �3/�Y a -5
HTE# 6 - Ll 3�YS
Harnett County Department
ISSUED TO:
Authorized State Agent:
Permit # a `ic(b I
of Public Health
Site Sketch
PROPERTY LOCATON: 35 500bk6n Pk -x -.Z, (Uwt,- (4\ 52 llj�
SUBDIVISION LOT # 2"Y
Date: 0 3 /o i
AsuS�Cti�:w Gv221oJ
-a6% ti 4.� DcZlop
rL pgp.A z-- A n -AFI -
P¢Qpc> +c`�-�
44' Y L+q'
342
5 '=t�>
9 a, 0
S0U--rS-k P c—A.C-E-7
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: (..c r•ncc> Calc 5
Address:C�c�.n Date Evaluated: 0R1QjEp/ig
Proposed Facility: �� Design Flow (.1949): 3 Ce0
Location of Site: roperty Recorded:
Water Supply: ublic ividual ❑ Well
Evaluation Method: Auger Bo 'ElPit El al
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: G
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1946
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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
I
L 4'2%
6--14
k 1-3
Yfi�".a 9
f3
w
6k. su
r1Z, sssr
-7.
3C,
q
qO
&.7
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): QrovCgtc+vgt� S.>:6w:>L�
Available Space (.1945) Evaluated By:
System Ts) 5`&A n 4 ` Others Present: (Arte C,�mnr 176�
Site LTAR o, p•