IPACNTE# 3-7L-75 Harnett County Department of Public Health 28676
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
L - PROPERTY LOCATION: Js,( IUO(< U 11) S 774- G
ISSUED TO:/C__?s^ R.p+3f �TD �1G SUBDIVISION C7k P021J Q o 6 i�,5 LOT #
NEW Er hEPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -4�'I—a.)
Proposed Wastewater System Type: 75- % i L94-(�TLe —
Projected Daily Flow: "S C¢ m GPD
Number of bedrooms: �� Number of Occupants: Amax
Basement []Yes 0 No
Pump Required: Dyes ❑ No ft! Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community l Public ❑ Well Distance from well Net
Permit conditions:
Permit valid for:
0 Five years
❑ No expiration
Authorized State A r.: � Sy' Date: / — /'1—/4 SEE ATTACHED SITE SKETCH
The issuance of this permit V Branch Deparunent 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 mvocatimiY 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, .1953, .1954, .1955, .1956, .1951, .1958. and .1959 an incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: C'024,,Lk JA^ - -.TVLK PROPERTY LOCATION: &1-J 06 (,,, U J 0 S al' /'ZZ
SUBDIVISION D)AZin DL.?Yh% b S LOT # 35
Facility Type: 4� LTJ New ❑Expansion ❑ Repair
Basement? [I Yes No Basement Fixtures? 11 Yes E3'No
Type of Wastewater System** i5/n 7�—�U (./ t.cPi3 (Initial) Wastewater Flow: 36a 6 GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /000 gallons Exact length of each trench 00 feet Trench Spacing: ( Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: _�_ inches
Maximum Trench Depth of: L aP inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TON vs. GPM
Conditions:
(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.
cP
inches below pipe
Z
inches above pipe
2
inches total
**If applicable: / understand the system tips, specified is different from the type speciled on the app/kation. / accept the specilcations o/ this permit
Owner/Legal Representative Signature: Date:
This Conmcdon Authorization is subject to revocation if the site plan, put or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is Subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit MAI IALHtD Slit SKEILH
Authorized State Au - /? f/�� Date: /- / N - /[r -
Construction Authorization Expiration Date:
NTE# /S 5E-- 374- 7 J�
Permit # Z 810 76,
Harnett County Department of Public Health
Site Sketch
/I PROPERTY LOCATON: � 1004 0 10 S: �!�' ��
ISSUED TO: cc, k-� /L+ A, / SUBDIVISION Ox-C-o/LcQ LOT # 3 S
Authorized State 4,� 1!t Date:
CAA—o,> �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: 41/ INtI=r >'
Address: Date Evaluated:
Proposed Facility: �f- Design Flow (.1949): X¢�
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
Salim
Class
.1944
Restr
Horiz
G%
Z
s-ro�
L.-
0-3?
SC. LS
AC_ ln.6taC
3k H$
5t- _
A
L
Z-�(
SCL
I l2Si
C/
Description Initial Repair System Other Factors (.1946): <
System Site Classification (.1948):
Available Space (.1945) v ✓ Evaluated By: c _
System Type(s) Others Present: _V
Site LTAR `'(