IPACHTE#0q'5-aw`A6~ Harnett County Department of Public Health 25466
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Poc~4~G~t~~P
ISSUED TO: C_ 0 mb1E_2~1V,N0 A0 mE ~1.1 C. SUBDIVISION ~sza~ a t Q ^~l rn5n r r LOT # `l ~
NEWX REPAIR ❑ XPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~ F Q) ( tag n6 -o
Proposed Wastewater System Type: C -i r~ ~o tv rv~,.L
Projected Daily Flow: 3C C) GPD
Number of bedrooms: _3_ Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well l0 0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 0 C)~1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc ~other 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, .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'0 rn Gt e L L p~*sD ~ r m PROPERTY LOCATION:
SUBDIVISION ' c ~ p ~c o i LOT # 7)
Facility Type: ~n 1--1 New ❑ Expansion El Repair
Basement? ❑ Yes ~ No Basement Fixtures? El Yes ~No
Type of Wastewater System" C_~_, "v S t,r ~ 0 N (Initial) Wastewater Flow: ~blJ GPD
(See note below, if applicable
C11 "s~ V_1rX\0 0 A t- (Repair)
Installation Requirements/Conditions Number of trenches Is
Septic Tank Size N c- o 0 gallons Exact length of each trench S n feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: X11-30 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 Cover: 1~ -l inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
1 inches total
*If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, pl~at, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownership of the site. This
Construction Authonzation is subject to compliance with theov the and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: &-S Date: 5 d`T
Constructio uthorization Expiration Date: 1 ILI
HTE# C~~1-5 alb 1 Permit # 5)-I 6
ISSUED TO:
Harnett County Department of htblic Health
Site ketch
PROPERTY LOCATON: Pow ~~yq L
~ fl A\vbtti 5 G SUBDIVISION CoaaL.t" ~~asci Kj," LOT #
Authorized State Agent: Date: 0
W
CA Q E co v~L~
Division bf Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: g Epp Sn~~b s~ Design Flow (.1949): 3b~ p
Location of Site:
Water Su I P
Property ID:
Lot
File
Code:
Applicant:
PP y [ ublic [ J Individual [ J Well
Evaluation Method: j Auger Boring
Pit
Type of Wastewater: (Sewage [ J Industrial Process
Date Evaluated: S ov
Property Size: 1
Property Recorded:
[ I Spring [ J Other
[ j Cut
(J Mixed
P
R
O
SOIL MORPHOLOGY
OTHER
.1941
PROFILE FACTORS
1
Am
,
.1942
L
E
Landscape
Position/.
Horizon
Depth
19411'
structure/'
.1941
'
Consistence
Soi}
'
X943
19W
t 1944`' Pro$la r~
#
Siope%
IN.)~
Texture
Mineralogy
Wetness/ ,
l
F C
o
or
Depth (IN.)
-Class .
tioriz 8 LTAR
I I i t S V"t'
uescnption Initial Sy tern epair System
'o Other Factors (.1946): _
Available Space (.1945)
System Type(s)
Site LTAR
Site Classification (.1948):
Evaluated By: (J i
Others Present:
J`2_ Lis, ~c'1