IPACHTE# Cf:;v Harnett County Department of Public Health 2 5 4 7 3
Improvement Permit
A building permit cannot be issued with only an Improvement Per¢ ~t
PROPERTY LOCATION: _~\L P 1" E l3ra-
ISSUED TO: WFA~CCL ~C--~Ez-04r^ 1^tG SUBDIVISION Sut.rst 'RN 0--e- LOT # 1705
NEW REPAIR ❑ NSION 11
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S FQ C-5 A C
Proposed Wastewater System Type: w*rvF~ s \.0 r1 Cs+L
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public 11 Well Distance from well V Oo feet Permit valid for. Five years
Permit conditions: c ❑ No expiration
Authorized State Agent:: Date: I kZ I b~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o er permits. The permit holde is resp nsible 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 taws 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 T0: ~Fo.rG~ ~E.,~LOQH,E>J: ~NL PROPERTY LOCATION: Q.LQ,N6 fl(2,
SUBDIVISION SvNs~C Q-.DCE LOT #
Facility Type: S'FQ Q33~ ~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes _)R, No Basement Fixtures? ❑ Yes 2- 1 No
Type of Wastewater System' Co, wE "rc'O tr+ Pa- (initial) Wastewater Flow: GPD
(See note below, if applicable
C0 r4 4 'c5 >J AL (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size vans gallons Exact length of each trench LAO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2.4-3 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 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
_ inches above pipe
inches total
*"If applicable: /understand the system type specified is different from the type pecified on the app/ication. /accept the fpecificatianr o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su c ocatio 'the site plan, 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 is subject to coin ce ions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: _
nstruction Authorization Expiration Date:
HTE# Cf~ -5-- .49 Permit # 31,5L-13
Harnett (bounty Department of Public Health
Site Sketch
PROPERTY LOCATON: AL41,-Z'O(L
ISSUED T0: ~1~P.YF~1_ ~C=vEtrJ r~', ~~vC SUBDIVISION 'S SC-1 9-•o6G LOT # 1 !-1
Authorized State Agent: c,~wcrz 5ozxsfl Date: c
NCTI;1-,v N F- ,q cL
J/ d
W G
1)j.
33^ x C.C
L
Q
7
I - I
___Co~E~SwttAL_
A 1G1
ISM SESga,L~.
~ 10
QG~-P,i~t AGE
EASEf`~EN~
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: 34~20a~ ~cr~6 Design Flow (.1949):
Location of Site:
Water Supply: 'XPubiic [ I Individual
Evaluation Method: ge r Boring
Type of Wastewater: 4se wage
365
vrooa.
Property ID:
Lot
File
Code:
Applicant:
[ ] Well
[ ] Pit
[ ] Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
(j Spring
[ j Cut
( j Mixed
4
[ ] Other
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE ~FACTORS
'
1
L
E
1940 '
Landscape
PosltioN,
" Slope%'
Horizon
Depth
_ (IN.),
.1941
Structure/
Texture
1941
Consis6noe
,
Mineralogy
I
.1942
' Sod
_ Wetnessr.
Color ; '
'
1943
Sowz;,•.
Deptk (ft)
.1936
?.SapmI
Class
.-1 9,4t
Restr*,
~ . Horst ~
ProRle , Z~..
Cias
B LIAR
t
t.S
G-Gtl
6 S
y'PrL. r46
axv~h
C LIS
-YS) N~
G s
-cRr~,
S ~
Description Initial S tem 52air System
Available Space (.1945) V11 _j
System Type(s) N C-0 IN
Site LTAR .7-1 1-4
Other Factors (.1946): _
Site Classification (.1948): 5
Evaluated By:
Others Present: