IPACHTE# o°1 - S-309 N,
Harnett County Department of Public Health
2 5 4 5 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO: S3L-?K-`4-`+E1-1-
PROPERTY LOCATION: NucsEA--i -D
VkL'M S=5 N G SUBDIVISION ~oo ~sj ¢L-
LOT # 3CQ
NEW
REPAIR ❑
_
--FXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
S W) 60~%t t"
Proposed Wastewater System Type:
Co v-j v ~---K vo, x t~
Projected Daily Flow:
3(oO
GPD
Number of bedrooms:
3
Number of Occupants: max
Basement ❑Yes
XNo
Pump Required: ❑Yes
X No
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Commun
ity 'X Public ❑ Well Distance from well 1C'lJ feet Permit valid for.
Five years
Permit conditioner
❑ No expiration
Authorized State Agent:: Date: ct~3(31_0~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o dir`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 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, .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 TO:s \t~c' PROPERTY LOCATION: ~~cz Ea.Y Q.~
_,~r, SUBDIVISION ~oac~ij►aG LOT # Q-bGJ
Facility Type: ° cv New ❑ Expansion ❑ Repair
Basement? ❑ Yes A No Basement Fixtures? ❑ Yes X No
Type of Wastewater System" CC"-J0t-1>,U (Initial) Wastewater Flow: `YnO GPD
(See note below, if applicable
Co '4 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size IOM gallons Exact length of each trench --)S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of & Lf 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: 1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
1-41 inches total
**If applicable: /understand the system type specified /J different from the type specified on the application. / accept the specilcationr of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject -61 V if the site plan, pla 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`uLti, to compliance with ovi tss th~Law les for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction A i ation Expiration Date:
HTE# Permit # a51 ks~
Ht-lrnett County Department of I'tiblic He~iltil
Site sketch
ISSUED TO:
b L-
PROPERTY LOCATON: Nv2SEIL-i QV
_ SUBDIVISION o~c~stZ \QX-- LOT
Date: 30]
Authorized State Agent.
2 51'
ios,
ilirln~'
Division of Environmental Health
Onrsite Wastewater Section f"
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: j ekQ O~Design Flow (.1949):_:%05e,(1
Location of Site:
-111
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public O Individual Well
Evaluation Method: -[>Ouger Boring [ j Pit
Type of Wastewater: 'Sewage Industrial Process
Date Evaluated: "f 3d~ c~
Property Size:
Property Recorded:
Spring [ J Other
[ j Cut
( ) Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position
Slope%
Horizon
Depth
(IN.)~
.1941
Structuref
Texture
.1941 .
Consistence `
Mineralogy
1942
Soil.
Wetness!'
Colon '
.1943.
Sop ;
Depth IN.)
.1956
Sapro
Class
1944`
- Reatr;`
Horn
Profile
Class
<AIR
I
LS
C~-d
Co
vF n
S
`
~-ri0
~ s
V ~R ~s t ~
s
2
$
vrti t~~r►~~
Description
Initial System
Rep it System
Available Space (.1945)
System Type(s)
CcN r`
<r
Site LTAR
Other Factors (.1946):
Site Classification (.1948): S
Evaluated By: 01
Others Present: