IPACHTE#0cA Harnett County Department of Public Health 25315
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C`1 s ~ lS~'~N ~W f 2C~ai V O
ISSUED TO: C"~ "a1-QG [ ~,~so SUBDIVISION _ Cu,,:z,C-_s S ».PSdrl LOT # 1
NEW`X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: P Lid x't~J
Proposed Wastewater System Type: C-0 -4-C-r~ .aw~ L
Projected Daily Flow: ~O GPD
Number of bedrooms: Number of Occupants: ro max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well LQ~ feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: 2S Date: LV I r)Q ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua er permits. The permit holder is responsible 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 Improvement 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 Deposal 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 T0: ~t T t~tGLL~s S , m~s~,r PROPERTY LOCATION: V-56 4A C'Ao(Lc,\a q--i~>
SUBDIVISION Gwca2~L S ~+~psc~ LOT # 1
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes E1, No Basement Fixtures? ❑ Yes No
Type of Wastewater System' `4 C--t4_. 'cr i p, L (Initial) Wastewater Flow: 3hC7 GPD
(See note below, if applicable
w ~,e A , E~i pan A L (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size v o C- 0 gallons Exact length of each trench N > S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. R inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: 47 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
*If applicable: /understand the system type specified /s different from the type fpeci6ed on the application. l accept the rpeci>icatiom of this permit
Owner/Legal Representative Signature: Date:
>uoleu to e u me site plat, or me mtenaea use cnangeS. the Lonstrucnon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance witthe s o s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t
Construe uthorization Expiration Date:
HTE # Qf-l -'IS -I
Permit #
narnett County Department of ll~iblic neauh
Site sketch
PROPERTY LOCATON: , Ps~AI~ C~ayctC Qb
ISSUED TO: C~ SUBDIVISION C ~ ,Q Ls LOT #
Authorized State Agent: (.NLklE270L-y Date: a g
3oa
K, 'Fl-dCAH
c~ t~L.H
uepanuiamu, ctivnunnienL, nedwi, mHl rvaiy nVbUUjtaa 01
Division of Environmental Health Property IL.
On-site Wastewater Section Lot
File
SOIL,SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: *-ox-,( Design Flow (.1949):3(0
Location of Site:
Water Supply: Public ( I Individual [ I Well
Evaluation Method: Auger Boring ( j Pit
Type of Wastewater. (Sewage ( I Industrial Process
P
R
0
Date Evaluated:
Property Size:
Property Recorded:
(j Spring [ j Other
( j Cut
( j Mixed
SOIL MORPHOLOGY
OTHER
F
•1941
PROFILE FACTORS
1
.1940
.1942
L
E
Landscape
Pos#bN
Horizon
Depth
.1941
Shicture/
.1941
Consistence
SoIF
WebNset
.1943
19m 19" PtafiN
,
•
S %
(IN.)
I Texture
MkIeralogy
Color
So#
Sapra
T Rests Class
0-15
G ~L,
~N
vZ
Depth If.)
Class Horst a LTAR
~s
~
c
4
1
ti ta~,t ~ 3
15 36 S~~ s c~ F 2 s k,?
~Q-Ci 36
C_3a„
v<sc~
51~~P
uubuipoon
initial system
Repair System
Other Factors (.1946):
Available Space (.1945)
Site Classification (.1048): Qj
System Type(s)
GO W
pu'"Q
rJ
Evaluated By: o
rite LTAR
3
Others Present:
Lk 0- vt