IPACHTE#~°~~5=~~ Harnett County Department of Public Health 2 5 4 6 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ISSUED T0: -~7oC ~iG2 5 os"~ SUBDIVISION BQ u c~ Cd, rr.~~o s,
NEWX REPAIR El EXPANSION El LOT 5PA
Site Improvements required prior to Construction Authorization Issuance: :
Type of Structure: _ Mp.~ , % rr~- ~A'~ 0
Proposed Wastewater System Type: C:~E! r~ .i L-t-te cr sv p L
Projected Daily flow: GPD
Number of bedrooms: 3 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 l h0 feet
Permit valid for
Five years
Permit conditions:
❑ No expiration
Authorized State Agent: A`te` 7~ ~ _Date: S ponsibk S EE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan its. The permit holder is 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: Ct-y0t7- VkEL-so N PROPERTY LOCATION: CAr•~Crz~
u r SUBDIVISION Cat=.~~cs,~ LOT # 5A
Facility Type: M!` . 0c"' Q- `A X New ❑ Expansion ❑ Repair
Basement? ❑ Yes A No Basement Fixtures? ❑ Yes 'DK'No
Type of Wastewater System** c~ •rE >c~ ~L (Initial) Wastewater flow: 360 GPD
(See note below, if applicable ~s~Eo ~Covc~~c~iJ
(Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size 10C5b gallons Exact length of each trench 1 3 Z? feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ~o inches
Maximum Trench Depth of: 111ce 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 e
Conditions: S a pip
inches total
`*lf applicable: /understand the rystem type speciled is different from the type speciled on the app/ration. / accept the specilb&,nr of thi permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revo f 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 o compliant s the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: c.
Date: --7 o
Con ruction Authorization Expiration Date: L~J
HTE# a~~ 115 Permit #t
Harnett County Department of Pabl l c Health
site Sketch
PROPERTY LOCATON: C"sWsv qo
ISSUED TO: cl- 10 N SUBDIVISION ~~uCE CrM~sZ~tt t LOT # 5f\
Authorized State Agent\ 415 0~ }v~oi0 Date: 4
``f'
0sC Drs E
~vp,I-vQ-s ~Qt4
Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility: 3
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTENI
R~,R' ,fx)M
ubiic
Auger Boring
j;Sewage
V.GOI.
Property ID:
Lot
File
Code:
Applicant:
Design Flow(. 1949): 3CO
(J Individual O Well
[ J Pit
[ J Industrial Process
Date Evaluated: Property Size:
Property Recorded:
( J Spring (J Other
[ ]Cut
[ J Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
; OTHER
- PROFILE FACTORS
1
L
E
0
t
1940
Landscape
PositfoN
Slope%
c,~-~gt
Horizon
Depth
IN.)"
-~.ci
19411'
Structure/.'
Texture
~ s
'1941
Consistence
'Consistence
' Mineralogy
~1F~. ►~s1.~
.1942
Sod.
- Wetness/
Color = '
1843
Safi..t~.
IN.)
Depth;
.1936
; 5apta'
' Class
, t 1944`
estr;
Horii':;
Profile
C
d~ R
P S
S;'-'L-
VCL 75 s~
P
CR,
3
Description
Initial Sy m
___/Repair System
Available Space (1945)
System Type(s)
Gd t'
~asz6~7
Site LTAR
S
Other Factors (.1946): _
Site Classification (.1948):
Evaluated By:
Others Present: