IPACHTE# opt ~s a~~a~ Harnett County Department of Public Health 2 5 3 0 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Pow oao~~a
ISSUED TO: v~ CC SUBDIVISION Bar woe LOT # _5_5
NEW REPAIR ❑ EX NSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V I l~n,C 116-x7-6 O
Proposed Wastewater System Type: a~~o p o" S vsskm
Projected Daily Flow: C5 GPD
Number of bedrooms: Number of Occupants: C max
Basement ❑Yes 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 10_ feet Permit valid for:
Permit conditions: - JEF ~cxt~_s O, ,s - C vl>
Five years
❑ No expiration
Authorized State Agent:`;` QS
The issuance of this permit by the Health Department in no way guarantees ce
site is subject to revocation if the site plan, plat, or the intended use changes. The Impt
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: q I a.k (2<1 SEE ATTACHED SITE SKETCH
of other permits. The permit holder 4sponsible for checking with appropriate governing bodies in meeting their requirements. This
vement 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, .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: o C-<) ; Eu PROPERTY LOCATION:
SUBDIVISION 'i ac Qom -CCi rv(LOT #
Facility Type: C'lt?.kO~,E ~1brx_30~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes , XNo
Type of Wastewater System** a lc RMuc_- v0,', ~"vSSlrm (Initial) Wastewater flow: GPD
(See note below, if applicable
C- $ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 10~ gallons Exact length of each trench '~04 feet Trench Spacing: cl Feet on Center
Pump Tank Size 40l~D gallons Trenches shall be installed on contour at a Soil Cover inches
Maximum Trench Depth of- I 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: SEE Z~~s Cv" C_D Y cE Cx_~ inches total
**If applicable: l understand the system type specified is different from the type specified oo the application. / accept the specifications of this permit,
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the an, plat, 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 sut to compliance with t visidh ws Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 4-5 Date: 4 c
Construction thorization Expiration Date:
HTE # O`1 5 -tom a`b Permit # 53003
Harnett County Department of Mtblic Health
Site Sketch
PROPERTY LOCATON: Pos~trsEsz.bS~ R9
ISSUED TO: a o s SUBDIVISION ~ oo~s<ro LOT # Authorized State Agent: -T sC Date: y
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
-11-1.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Design Flow (.1949): Property Size:
Property Recorded:
( J/Zu blic Individual ( ) Well ( J Spring (J Other
[ Y Boring (J Pit [ ] Cut
[ [ J Industrial Process [ ] Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
'
I
L
E
#
A UG ~
Landscape
Position%
Slope'
Horizon
Depth
IN.)
.1941
Structurel'
Texture-
1941
'Consistence
Mineralogy
.1942.
Soil
Wetness/ '
. Color
~
1943
So~'.~.
Depth, (IN.)
1938
.`2.Sapror`
Class
19
Restir;
Horiz-
Profile .
Clash
& LIAR
C_ /I
G S~
I~~T /I/1l✓/°
o l U
C'& Z-
V117,:_/~i4410
b~27/1
c
C~-lo
G s ~
~f~ r~s lip
Fv It
C_
t
VF
~A C_
Description
Initial ystem
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
3
~J
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: