IPACHTE# O`x-S-9:;,'~ Harnett County Department of Public Health 2 5 4 9 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: Ef-5 cZD.Et--yGD.S cv7-s . SUBDIVISION `~v~src5 R~ oGE SE c 3 LOT # W_
NEW)4 REPAIR ❑ l EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -S~ V
Proposed Wastewater System Type: C~~.rE,.~csocvo,c.
Projected Daily flow: 34,'Cb GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes t4 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community\CA
,Pw
1 Public ❑ Well Distance from well C5 feet Permit valid for Five years
. 1<n Permit conditions: _ ❑ No expiration
Authorized State Agent:: ``J\Y ID-S
_ Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in m way guarantees the issuan ther permits. The permit holder is esponsible 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 Improveme ermit 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, .19S6, .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: 1,c?3L_ ,--yC1y44 C-0 NS . PROPERTY LOCATION: pxNG- q0
SUBDIVISION .SIM. ~cE Seca LOT # Q
Facility Type: ~~L' +4 aJ ,New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C' 0 v~-~ 1,0 N1~" L.. (Initial) Wastewater Flow: 3La GPD
(See note below, if applicable C~o 14 14C-,t y ti o ,.1 a,t,_ (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size \ dbO gallons Exact length of each trench 1st) feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 13--aii inches
Maximum Trench Depth of. '_11-A -3C- 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 pipe
Conditions: No -51 E4CO\rjPA5 inches total
*If applicable: /understand the system type specified is different from the type specilled on the app/ication. / accept the speciFcationr of thin permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site nlan_ nlat_ or the intended ucc rh-- The C-&-6- aurhn.i,ednn h,u - ko t...,.te-4 .,,6e„ r6,...:. A..,..
Construction Authorization is subject to comp an rovi he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date: _
HTE# O"1-5-a~ Permit # a5l19S
Ha,,rnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: P~~4~rE ~.c7
ISSUED T0: SUBDIVISION Svc S? ,~,cE Sec 3 LOT #
Authorized State Agent:
Q~t~t-wEtz ►aL~o(ry Date:
r
100
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Division of Environmental Health Property ID:
On-site Wastewater Section < Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: Design Flow (.1949):
6
Location of Site:
Water Supply:
"NIPublic [ J Individual
[ ] Well
Evaluation Method:
Auger Boring
[ J Pit
Type of Wastewater:
-jSewage
Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ j Spring [ J Other
( ] Cut
[ ] Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure!
Texture
1941
Consistence
Mineralogy
.1944
Sod
Wetness/',
Color
1943
Soil
Depth (IN.)
1956
Sapro
Class
1944'
Restr
Horiz
Profile
Class .
& LTAR
Description
Initial System
Repair System
Available Space (.1945)
V
System Type(s)
`J
Uvv
Site LTAR
Other Factors (.1946):
Site Classification (.1948): 75
Evaluated By: G \
Others Present:
~x\~~ C X36 I mac, ~,P~Uw~;-`>