IPACHTE# Og-~-a~-~a, Harnett County Department of Public Health 2 5 4 7 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L~cny~s $t_P,L~ Yb
ISSUED TO: "yyta SvM,_Es ~o~LpEstS SUBDIVISION LOT #
NEW'X REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SV-D 75
Proposed Wastewater System Type: C~ r.yEr-Tv u c- 0-.L-
Projected Daily Flow: t-i $ O GPO
Number of bedrooms: Li Number of Occupants: 'Q6 max
Basement ❑Yes X 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 14)0 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees thee
site is subject to revocation it the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 5 1 1~1 4g SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
'ement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: _rV GH SUQ,LES putLOE PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes -K, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C,0 NVG-r1T'Let N P.t. (Initial) Wastewater Flow: 4Z0 GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size L ooc9 gallons Exact length of each trench 0
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: %4
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDN vs. GPM
Conditions:
feet Trench Spacing: `l Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
t3, inches total
**If applicable: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject on if 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 compliance with t a the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1 45
Constru ion Authorization Expiration Date: 1
HTE# O`y►-~-a- Permit # 2k,510 j6
Harnett Comity Department of -Mil)jic Health
Site Sketch
PROPERTY LO(ATON: E-C c~UF L ~-AC ~Z~
ISSUED T0: En., SUBDIVISION LOT #
Authorized State Agent: -~vESt loLXso Date:
--y+ce-P,l
,k,C.p,LL
I,~Lnwar-
UCy.3f U I ICI I I UI Cll Vrr vrrrrrur r r....r. r r.uwi ur r -----v....
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: l-t Design Flow (.1949):e~
Location of Site: J~
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public Individual [ J Well
Evaluation Method: 7jQ Auger Boring [ J Pit
Type of Wastewater: Sewage [ J Industrial Process
Date Evaluated: 5
Property Size: ,
Property Recorded:
[ ] Spring [ ] Other
[ ] Cut
( ] Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941`
OTHER
PROFILE FACTORS
1
L
E
0
.1940
Landscape
Position/
Slope%
Horizon
Depth '
(IN.)
1941
Structufel
Texture
1941
Consistence
Mineralogy
.1942;:
Soil :
Wetness/
Color
943
Soil :
Depth (IN.)
.1956
Sapro
Class
,1944
,j Restr,
Horiz
Profile
Class,
& LTAR
L_5
C, G
6
~J r r2 tus) Ja
~i
e
3
5 PjA~ SG.1.
~Sf
p~132 1~~
to \C 5
2~2 s 5 ]
0-1
3
ASK SCL
s ~`7~'
1 `ln ~J ~a 36 ~I
. 3
- S
6
d•a~
G 5
v~-~ ~~lr
-).s ~N
-7V (2-, 6'
sc~
V7t JVZ,
18
Description
Initial stem
pair System
Available Space (.1945)
System Type(s)
l~ G«CrN
Site LTAR
Other Factors (.1946):
Site Classification (.1948): ?3
Evaluated By: U\
Others Present: