IPACHTE#0q - 5--2/&y8 Harnett County Department of Public Health 2 51 2 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ } PROPERTY LOCATION:S,Z1V,03 ~26t c- films
ISSUED TO CGAJ CMT~AGT~S SUBDIVISION 1j,4-r/" LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F
Proposed Wastewater System Type:
Projected Daily flow: 366 GPD
Number of bedrooms: 7N .3 Number of Occupants: (0 max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No ❑ M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community [Public ❑ Well Distance from well feet Permit valid for 2 Five years
Permit conditions: ❑ No expiration
Authorized State A C r - Date: -16- t} SEE ATTACHED SITE SKETCH
The issuance of this permit b th ealth Departmeit, 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 a site plan, plat, or he 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 Deposal 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, .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: C~~ Cow S PROPERTY LOCATION: 521V Q
SUBDIVISION IQs.ldiz { LOT # -/"3
Facility Type: 9/New ❑ xpansion ❑ Repair
Basement? ❑ Yes Q~ No Basement Fixtures? ❑ Yes Ik'No ,-IP17
Type of Wastewater System** (Initial) Wastewater Flow: 36d GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number oft nches 3
Septic Tank Size / UUCP gallons Exact length of each trench /DD feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 71V "A";e inches
(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. 6_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
6 inches below pipe
inches above pipe
/Z. inches total
**If applicable: /understand the system type specired is different from the type specified on the application. / accept the rpecillwionr of this permit
Owner/Legal Representative Signature: Date:
Thn rilmmirtinn duth-i-fi.n -he ..t t a L. - - ° r r- _ - - Mang- lilt w uuuu uu wumonzanon snau not oe 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. SEE ATTACHED SITE SKETCH
Authorized State
Date:
Construction Authorization Expiration Date: /d- 1
HTE# 09 - S - a / (o4 `U' Permit # _ c, Sf - °7
Harnett (bounty Department of Public Health
v i to Sketch
PROPERTY LOCATON:-52 /V0 3 ,zc1Plf' ~ ~r t~ ZD
ISSUED T0: C%GJL.) ~'C1z.1/ At~l1Y7~5 SUBDIVISION 0 ~1,4 z( 6/~r LOT #
Authorized State
Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
vncca.
Property ID:
Lot
File
Code:
Applicants/d'Y3
Date Evaluated: ,3 v"J
Design Flow (.1949): Property Size:
Property Recorded:
[~l}c Individual [ J Well [ ] Spring (j Other
] Au / r Boring Pit [ ] Cut
ewage [ ] Industrial Process [ ] Mixed
P
R
o
IF
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L "
E'
#
.1940
Landscape
Position)
Slope%b
Horkon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942 ,
Soil .
Wetness/-
Color
.1943
Soil
Depth (IN.)
.1956
Sapra
Class
..1944
Restr
Horiz
Profile`
Class
& LTAIR
L
o-ya
c -ci
WK K-S ,p
6N
Lf L
7)U_ -5
Description
initial Syste
Repair stem
Available Space (.1945)
System Type(s)
ISite LTAR
3
_s
Other Factors (.1946)
Site Classification (.1948):
Evaluated By:
Others Present: