IPACHTE# O~'S--a~~31} Harnett County Department of Public Health 25194
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~c,C~rt2,n, Rfl
ISSUED TO: 0o N N P. ~y wz9 SUBDIVISION LOT #
NEWA REPAIR ❑ EXPANSION ❑
Type of Structure: M er . Ho cnr. rilop~
Proposed Wastewater System Type: C-0 N v ej--n X C was
Projected Daily Flow: 3 6o GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes KNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 14nO feet
Permit conditions:
Permit valid for. )<five years
❑ No expiration
Authorized State Agent:: \y~ti --:k V '(ZS Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance Cher permits. The permit holder is resp'nsible for checking with appropriate governing bodies in meeting their requirements. 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 taws 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, .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: floc-rrvP~ ~y PROPERTY LOCATION: S tM C yVQXLIfv RD
SUBDIVISION
LOT #
Facility Type: Yl P,N ko X New ❑ Expansion ❑ Repair
Basement? ❑ Yes '15< No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** C-4 t-.vesv-~-\ a "-0o'L,_
(Initial) Wastewater Flow: mod GPD
(See note below, if applicable
Co,vvC~rv-c\. o sr At,,,,, (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size i o O a gallons Exact length of each trench 85 feet
Trench Spacing: °t Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: fo inches
Maximum Trench Depth of. 19, 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: ft. TDH vs. GPM
C inches below pipe
n _ Aggregate Depth: ~A' inches above pipe
Conditions: po tVcr St , pc{~oc•~ oc:_ S vo6~dA1LS OF \0.6,,,c.~ R~~E CJ%0L5 1~. inches total
0." o $ ours r. N FF s~ ~l
**If applicable: /understand the system type specified is different from the type specified on the app/ication. /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rev f the site Ian, 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 Authonzatiott rs.u~ject to compHe witIt the fro Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date:
HTE# OcA--5-a\13y Permit # 951`t 1 r
Harnett County Department of I'liblic Health
Site Sketch
PROPERTY LOCATON: C-U aa,\N R9
ISSUED TO: OQC4 SUBDIVISION LOT #
Authorized State Agent: IS 61-w EEL IOLXS,r) } Date: 31x3 I ~cl
Isd/
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
- 1-1.
Property ID:
Lot
File
Code:
Applicant:
3 Sc~ c: taco cvE Design Flow (.1949):
Pi Public Individual (J Well
Wuger Boring [ ] Pit
'(Sewage [ J Industrial Process
Date Evaluated: atjC~
Property Size:
Property Recorded:
(j Spring [ j Other
(j Cut
[ J Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
:OTHER
PROFIEE FACTORS `
r
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(IN.)'
.1941
Structure[
Texture
1941
Consistence
Mineralogy
Sod
Wetnesar
Color
1
943.
Soi_;+.
Depth (IN.)
1956
. ,.Saps; `
'dlass
,1944'
Restr
Horli",
Proflis
Ct*-.
8 LTAR
1
~-1 33
{rvtC S~..L
fy s ~5.
-35
33
IGL
~t 5~~n
d 3 „
yv3 -7
C- t'
Vt_1 5
-5 L
:>5 Y..
5'j y- -5 L
r 55
Y- Cj_
J7%
35
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
v
GQ 'd
Site LTAR
• -I S'
- " , I
j-
, 3,5-
Other Factors (.1946):
Other
Site Classification (.1948): 5
Evaluated By:
Others Present: