IPACHTE# 0`'%-c~-a1-13,~
Harnett County Department of Public Health 2 51 9 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -T NG
-16 ISSUED T0: SUBDIVISION Qarro Ns oNtrC LOT #kl*
NEWA REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S FO (~'-~3t,t,
Proposed Wastewater System Type: = °a REc~pc-S,oA 5
Projected Daily Flow: 3~4 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes 'No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well L6C~ feet Permit valid for: , !Five years
Permit conditions: ❑ No expiration
Authorized State Agent: ~guarantees The issuance of this
permit by the Health Department in no site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: 3 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Yemeni Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 T0: t 1 L C-t,o~a Zo ~.,F s PROPERTY LOCATION:
SUBDIVISION VM-5c, alWr LOT # IO
Facility Type: 1 / ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" a.5~le Rr-- D u c,, Na >v Sys-~t;, ~ (Initial) Wastewater Flow: 3~Q GPD
(See note below, if applicable
P e (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size ►oo0 gallons Exact length of each trench t50 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. `~3 C 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 y~k-:.'i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: /understand the ,r s stem
type speciTed is different from the type speciCed on the application. / accept the specircationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the I lat, 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 sub to liance with rovisio ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
e1 Date: 3 lZ'C'
Constr h on Authorization Expiration Date: 3 Zily
HTE# 0`1-5-2.1"l3~ Permit # a,51gt0~
Harnett County I)epartment of Public Health
Site Sketch
PROPERTY LOCATON: ~c N 9
ISSUED T0: SUBDIVISION QR.-Rous poi vC LOT # _1l4
Authorized State Agent~\ ~<Pu,4EQ-`saL2v-5 o2~ Date: 3~
Ldp 2 0 O c1 a A6
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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 g~o,y o~,t Design Flow (.1949): .C fed
Location of Site:
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public [ J Individual [ j Well
Evaluation Method: -KAuger Boring [ J Pit
Type of Wastewater: ` 4 Sewage [ ] Industrial Process
Date Evaluated: Ck)
Property Size:
Property Recorded:
[ j Spring [ j Other
[ j Cut
[ J Mixed
P
R
o
F
SOIL MORPHOLOGY
•1941
; OTHER
PROFILE FACTORS:
1
L
E
#
1940
Landscape
Position/
' Slope%
Horizon
Depth
(IN.)'
1941
Structure[
Texture
'.1941
'Consistence
Mineralogy
.1942:,
soil
Wetness!
Color
r
1943`.
` Solt:; .
Depth' IN.)
.1956,
Sapm''
' Class .
1 1194'
Re*,, .
Horit
f;
Profile " r ,
Class,
& L.TAR
0-3a
G t-5
~2 N~~ ~A
Q 5
I
°/r>
30-40
Sat s-'
Fti ~6 I
_6
Lb 4,
C_ 5
G L
mow. N S~
5
I
Description
Initial ystem
)Repair System
Available Space (.1945)
System Type(s)
~o
Bege~
Site LTAR
Other Factors (.1946):
Site Classification (.1948): ~j
Evaluated By:
Others Present: