IPACHTE# O'~5-a.V~_!~'
Harnett County Department of Public Health 2 5 3 0 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
r PROPERTY LOCATION: RAVNL2~
ISSUED TO: ~L~~ V v ~~~5 C~ A rJ SUBDIVISION _ LOT #
NEW REPAIR ❑ EXPANSION. [__1
Type of Structure: ~ ~ ~ " t-- ( 1L~ ~`'`?c~ `
Proposed Wastewater System Type: Co - 4V__ _V~ _1QIt4 N _
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ANo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes 23. No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ] Public ❑ Well Distance from well l C0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: V-- Date: -3 7) 10"1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is f other permits, The permit holder is respo Bible 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 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: GP7NI\s Mc"~ t l
facility Type: New
Basement? ❑ Yes ~rq No Basement Fixtures? ❑ Yes
Type of Wastewater System" C-0t-4-J (IPA `,L_
(See note below, if applicable
PROPERTY LOCATION: KP,y~rocz R9
SUBDIVISION LOT #
❑ Expansion ❑ Repair
X No
(Initial) Wastewater Flow: 3~, GPD
C.c, rt v 0 c~ DAt_- (Repair)
Installation Requirements/Conditions Number of trenches a-
Septic Tank Size ! 0y0 gallons Exact length of each trench t~C7
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 4A-30
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
feet Trench Spacing: Feet on Center
Soil Cover fa-l~ inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
Q inches above pipe
i~ inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permm
uwner/L.egal Ltepremaw ,ignature: Date:
This Construction Authorization is subject to rrowacatto If the s 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 isd to compliant h t ions the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 a~ '3 ~
Cons ion Authorization Expiration Date: 3 1~
HTE# Q)C Vb-!) Permit # 9 (7 3
Harnett County Department of 1'l blic Health
Site Sketch
PROPERTY LOCATON: 0a
ISSUED TO: nv ~Ect ~ ~ SUBDIVISION LOT #
Authorized State Agent: Date: 4-~ ~
A
►O~
C,U'evvE~laNPl.-.
P,
A
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: Design Flow (.1949):-5W
Location of Site:
Property ID:
Lot
File
Code:
Applicant:
Water Supply: XPubiic Individual [ ] Well
Evaluation Method: pjAuger Boring [ J Pit
Type of Wastewater: (-Sewage [ J Industrial Process
Date Evaluated: 3 f '
Property Size: 1
Property Recorded:
( ] Spring (J Other
[ ] Cut
( ] Mixed
P
R
o
i
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS:
1
L
E
#
.1940
Landscape
P@
Positior>
Slope%'
,
Horizon
Depth
IN.)-
.1941'
Structure(
Texture
1941
Consistence
Mineralogy
.1942,-'.
Soil
-
We
tnesal '
Color;
943
Sad
Depth' IN.)
.1958
Saptot'
Class
9"
Rests;
°HorFt
Ptofils
Ctasa .
&LIAR
X S L
VF(l. SS 1`4e
a~-3a
s ~ 5~
I N4
. ~
3d
v n rv
Description
Initial System
Repair System
Available Space (.1945)
i
System Type(s)
C/ "f
crc~r
Site LTAR
L
L
r,« \n17 (3 _`,is --,A',
Other Factors (.1946): _
Site Classification (1948): 45
Evaluated By: <Y~
Others Present:
_n nn_