IPACHTE# Harnett County Department of Public Health 2 5 3 2 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 'v3tt--L- Lv~s
ISSUED TO: ~KCIN ~E.NLLOPc SUBDIVISION GP+QOLINA OP-.K6 LOT #
NEW)4 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 rc 0 (Sd,,I-
Proposed Wastewater System Type: C14c>"vE r-,--c v a - N L
Projected Daily Flow: 41~~ GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No )g May be required based on final location and elevations of facilities
Type of Water Supply: [I Community /K Public El Well Distance from well id d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date:
C~ --)3 aq SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu of other permits. The permit holder is res 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 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 T0: SAM ~Eve~~QcrE,s-~ PROPERTY LOCATION:
SUBDIVISION LOT # 5'7
Facility Type: s F9~sa' New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~SQ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Cor.Ye
(See note below, if applicable
~11.5~1(~SNOUGW ~NrcbrP.L (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Lomb gallons Exact length of each trench . 3~0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. \'d inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: L~ '?,c)_ GIRD
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
C inches below pipe
ra, inches above pipe
SZ- inches total
**If applicable: / rrnderrtand the system type specified is different from the type specified on the app/ ,76n. /accept the speciCcatianr o(thir permit
Owner/legal Representative Signature: Date:
Thi, A.'kA. 11.67
- - - raa .11 u,m,ge). MC LUMU cuon Aumonzanon snan not De transferred when there is a change in ownership of the site. This
Construction Authorization is s! c compliance v the ns the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH 'N, C 11
Authorized State Agent: Date: -.13 n
Con uction Authorization Expiration Date: a3
HTE# O`~ Permit # a53a~
Harnett County Department of Public Hea,ltll.
Site ketch
PROPERTY LOCATON: \Al L_L LUC A5 R.0
ISSUED TO: P.L Q P SUBDIVISION C o t~\ N A O Arc LOT #
Authorized State Agent: 2S LwC-tt "(ot XS~Ot Date: a~
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Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTENVATER SYSTEM
Owner:
Address: \
Proposed Facility: ij Cad. - )c ,,..AqNL Design Flow (.1949): 1,-►2o Or
t3
Location of Site:
o t ICu t.
Property ID: r`
Lot
File
Code:
Applicant:
Water Supply. Public [ j Individual [ J Well
Evaluation Method: Auger Boring Pit
Type of Wastewater: /j-N`6` ewage [ ] Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
( J Spring
( ] Cut
(J Mixed
[ I Other
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
1942
Soil. .1943 .19%
Wetness/ Soil Sapro
Color Depth (IN.) Class
.1944
Restr
Horiz
Profile
Class
& LTAR
~
„
-
~ s z..
v~~ 5 I
yy
Description
Initial S stem
F~epajr System
Available Space (.1945)
System Type(s)
CXI rN
taLZ(i~„4MALLA^ty
ISite LTAR
5
Other Factors (.1946): Site Classification (.1948): pJ
Evaluated By:(3_~
Others Present:
I n3aA 1e