IPACHTE# Oq-5~a~ Harnett County Department of Public Health 2 5 4 7 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: vu. S-uc,Prs RD
ISSUED TO: $ . ~L Voc-G SUBDIVISION Ce eou r.rP C) A,cs LOT # LIF
J
NEW REPAIR ❑ EXPA~ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5i=0 CGH~x~3"
Proposed Wastewater System Type: Cv c, v ti;,t.rs
Projected Daily Flow: L-) 'A C> GPD
Number of bedrooms: LN Number of Occupants: max
Basement ❑Yes A No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~X Public ❑ Well Distance from well IC)(:) feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date:
~ 1
SEE ATTACHED SITE SKETCH
~theissu EfpZnsible The issuanceof this permit by the Health Department y guaraf other permits. The permit hol er is re rchecking 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: C.1_p,n,,.4- N r.LS PROPERTY LOCATION: ~)1LL Lvc v~
SUBDIVISION C.PQAow.r P\ O vets LOT # _0_
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ':K No Basement Fixtures? ❑ Yes X NO
Type of Wastewater System** Co tyvE17-rs rrP, (Initial) Wastewater Flow: LYqC)_ GIRD
(See note below, if applicable
a-~"!a Ps-QuQnOrv `-ys-Ens (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size looo gallons Exact length of each trench 3a.0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a-,N 3C 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: / anderrtand the ryrtem type specified h different from the type specified on the app/ication. / accept the rpeciflcatioas of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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 Aumonzation is subject to compliance it r 'ons of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~Ls Date: 5 1-, 09
struction Authorization Expiration Date: s )°S 1~
HTE# O°1~5aap2.~ Permit # ~5L1~-1
Harnett County Debt lment of lNiblic Health
Site Sketch
PROPERTY LOCATON: \~'i-L L QCPIS
ISSUED TO: 1 u C-t_c,ri.~ _ SUBDIVISION Como t,. , (Z)Kv-;s LOT # c_
Authorized State Agent: c~ -wtu'VoLKSOcX'~ Date: 5 19 0°~
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTENI
Owner: Applicant:
Address: Date Evaluated: 5) iyl0ci
Proposed Facility: Design Flow(. 1949): LN~~P~ Property Size:
Location of Site: 1 Property Recorded:
Water Supply: XPubiic Individual (J Well (J Spring Other
Evaluation Method: N Auger Boring Pit Cut
Type of Wastewater: _Vewage [ J Industrial Process (j Mixed
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9
SOIL MORPHOLOGY
.1941
; OTHERS
: PROFILE FACTORS.
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#
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Landscape
Position!
Slope96
Horizon
Depth
IN.)
.1941
. Structure/ ,
Texture
.1941
.-'consistence
Mineral
.1942
sod ,
.Wetness/ ;
Coles;
z
1943 1958 U x,1944`
. , Sow.~i . , aptat` Restr,'
Depth(IN.) Class _ Nora=-
Pro81e r 1,
Ctaas -
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36 41,.
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Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
CI&N
Site LTAR
-
j
Other Factors (.1946):
Site Classification (.1948): 05~'
Evaluated By: 0_~
Others Present:
340 ~