IPACNTE#1/5 _- - 375!�l Harnett County Department of Public Health 28682
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
,G rKurtHIT LUCAnuni3K� 7e J CG
ISSUED T0' /� . .4� SUBDIVISION �s& b LOT # /3 I
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5r—b
Proposed Wastewater System Type: Z51A? fZff tYi�T�T_s_ J
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 21
Pump Required: ❑Yes ❑ No LTMa be required based on final location and elevations of facilities ��
Type of Water Supply: 11 Community Public 11 Well Distance from well feet Permit valid for. PT -Five years
Permit conditions: ❑ No expiration
Authorized State Ag e /`(Fa/. -rte " Date: Z -2 -10 SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth 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 i . 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The mnstmttion and installation requirements 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 umrdance
with the attached system layout /7
ISSUED TO: �t�""Q�'tJr �fFJYti+-✓ ,�� PROPERTY LOCATION: /0/57 /32ll�o,o ,,66
SUBDIVISION / LOT # /37
Facility Type: 5 New Expansion ❑ Repair
Basement? 11 Yes No Basement Fixtures? ❑Yes AND
Type of Wastewater System** ZSS/�✓ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
vd.ZcL -5 — (Repair)
Installation Requirements/Conditions
Number of tree hes I
Septic Tank Size006— gallons
Exact length of each trench 360 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of:l8 of "'Wxinches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
4w inches below pipe
Z inches above pipe
/L inches total
**If applicable: / understand the f)uem type fper/6ed it different Imm the type fpedfled on the application. / accept the rpedfcationc 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 Authorination shall not be transferred when there is a change in ownership of the site. This
Lonstmctmn Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IALHW lilt IRtILH
Authorized State AeenC' -� --� it A_ _e�.r-t _ Zr
- �- � � r Date: Z "Z —/(v
✓ Construction Authorization Expiration Date:
HTE# I S-- :S--- 3153 I Permit # _7 OUT 2,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: T/L/ Y3 7 /541&11A�/46
ISSUED TO: SUBDIVISION e��r� �Ayee;o -C LOT # - 13
Date: 2—Z—«
Authorized State A
2
46.
60
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: 515_� Design Flow (.1949):
Location of Site:�,�. Property Recorded:
L]
Water Supply: Public❑ Individuaj ,/ ❑ Well
Evaluation Method: ❑ Auger Boring M 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
Sapro
Class
.1944
Restr
Horiz
/
Others Present:
Site LTAR
FZ,
Yr- 3L
. fc'u
f y�S,P
r
3��
3
Description Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948):
1Z5
Available Space (.1945)
Evaluated By:
L�
System Type(s)
Others Present:
Site LTAR