IPACHTE# Harnett County Department of Public Health 2 51 9 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 11r,36&1 Q.a
ISSUED TO: -ZM "C;!S to N SUBDIVISION '_T t NGE~v Y L_Acf LOT # '3L4
NEW X REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF'9 '
Proposed Wastewater System Type: Co~ vy~-~ \.or 0.A,-
Projected Daily Flow: 3 6L~ GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes '~(No
Pump Required: ❑Yes ~K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'A Public ❑ Well Distance from well ~O~ feet Permit valid for
Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Q$ Date: 3 axa d SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit holder is respo sible 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 Improvem t 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, .1952, .1954, .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: fl • \4~ kLS~,-~ CaaSNQUC4,,oty PROPERTY LOCATION: ~rNG~,~ Qa
SUBDIVISION N~Ea P>_oc,E LOT # 3 L4
Facility Type: SF~ lr~-3-~~ , New ❑ Expansion ❑ Repair
Basement? ❑ Yes "'a No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Co NVE.N~ ~ O N (Initial) Wastewater Flow: _I(Q GPD
(See note below, if applicable
Co !,;-4 'C\o N pit, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I o0o gallons Exact length of each trench !31 b feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of, 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 (over. La-at-1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
a inches above pipe
la. inches total
**If applicable: / anderrtand the ryrtem type rpeci6ed it different from the type speciTed on the application. / accept the ,rpecill'wionf of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rev on if 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 Authorization is su~1ct11 compliance t onions he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
ct_11~1 Date: 3 )-WO I
Authorization Expiration Date:
HTE # O `1-5-T-)-M l"i Permit # a5 \ ) 6
Harnett (vountyDepa lment of Public Health
Site Sketch
PROPERTY LOCATON: N6c-~
ISSUED T0: ~s» 2vCC~d~ SUBDIVISION 7TNr-Ew Pis LOT #
Authorized State Agent: (Q~\~ -roLl~Sp Date: 1C~Oq
i
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i
37,x38 ,
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: 3 p,C,72tlC4~ ~A@ v\~ Design Flow (.1949): 360 `
Location of Site:
-1
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public [ J Individual [ J Well
Evaluation Method: Auger Boring [ j Pit
Type of Wastewater: Sewage Industrial Process
Date Evaluated: 3) 1-3)01
Property Size:
Property Recorded:
[ J Spring [ J Other
[ ] Cut
[ J Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941`
-
OTHER.
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/ .
Slope%
Horizon
Depth
(IN.)
A941,
Sttructurel
Texture
.1941
Consistence
Mineralogy
.1942:
Soil
Wetnessl'
Color
L1943
Soil
Depth (IN.)
,1956
Sapro
Class
.1944
Restrr
Horiz
Profile'
Class
& LIAR
t
~s
w ml
G s
L
vFr✓ ~S I
gs
Description
Initial stem
Repair System
Available Space (.1945)
System Type(s)
Cc7 r
C~ N
ISite LTAR
j
r
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
i