IPACHTE# ac1 Harnett County Department of Public Health 2 5 3 a 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: CtsMO~L.LF~cdh ~~OmE~ ~N~ SUBDIVISION ~StiFOc LOT # ta~
NEW)~q REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Cc~ Nv rr, Cs N-4 k~ L.
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well IQ feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: ~
site is subject to revocation if the site plan ~ Q~ Date: " I _'8 110 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Ilealth Department it no way guarantees the issuance o permits. The permit holder i res nsible for checking with appropriate governing bodies in meeting their requirements. This
, plat or the intended use changes. The Improvement Pe 't 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: C--u ~~O mCn G PROPERTY LOCATION:
z SUBDIVISION ~I yOrc)cr ~ LOT
Facility Type: 5FO I) New ❑ Expansion ❑ Repair
Basement? ❑ Yes _1~9v No Basement Fixtures? ❑ Yes '5< No
Type of Wastewater System** C~ v-wc s o 4~z (Initial) Wastewater Flow: w~ GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size VbC~, C> gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of, 1`-~ --30 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 Coved inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
a inches above pipe
t~ inches total
**If applicable: / underrtdnd the YWem type apecifed it different from the type .rpeci6ed on the app/iwion. / accept the rpecificatioar of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is suhiect to revoeaiioR4L,the site plan, plat-4L the intended use changes. The Construction Authorization shall not be transferred when thero is a rhanoe in nwnarchin of the rite Thit
Construction Authorization is
with
for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Agent: Q Date: b
Construct) thorization Expiration Date: 1-11
NTE# Oct ~ `l~°1 Permit # 26
Harnett (county Department of M-tblic Health
Site Sketch
PROPERTY LOCATON: D~2~c5 ~p
ISSUED TO: AO L-, +,G SUBDIVISION LOT #
Authorized State Agent ~s~ ivE 2~aL tS Date: ~i g m
11~5 f
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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 E~~ t Design Flow (.1949): 3~~ Sri
Location of Site:
- 1-1.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: ;Auger ublic Individual Well
Evaluation Method: Boring [ ] Pit
Type of Wastewater: 1 Sewage [ J Industrial Process
Date Evaluated: Property Size:
Property Recorded:
[ ] Spring [ ] Other
[ J Cut
[ ) Mixed
P
R
o
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS:
i
L
E
#
..t94a
Landscape
Position/
Slope'
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
'Consistence
Mineral
.1942::,.
soli ,
Wetness!
Color
y
,A 943
SoN.4+.
Depth (IN.)
1956 '
; Sapb `
Class _
.
Y r 1W
Re*,.
Horiz -
l
C.
`
V-( K5!} °~4!
Description
Initial System
Repair System
Available Space (.1945)
!
v.
System Type(s)
:_c
we djv
Site LTAR
2
Other Factors (.1946): -
Site Classification (.1948): S
Evaluated By:
Others Present:
C