IPACHTE# Harnett County Department of Public Health 2 5 3 2 g
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W , Li. ~SGt
I9.2
SSUED TO: -1-Z SUBDIVISION C--PCC.o,"g, LOT # 5.1b
NEW X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ~oryy~rS\0r4P,h
Projected Daily Flow: 4~0 GPD
Number of bedrooms: t-1' Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IX Public ❑ Well Distance from well l OCR feet
Permit valid for. Five years
Permit conditions:
❑ Na expiration
Authorized State Agent:: Date: ~3 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no w~ateg the of other permits The permit holder is sponsible for checking with site is subject to revocation if the site th appropriate governing bodies in meeting their requirements. This
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,
with the attached system layout .1952, .1954, .1955, .1956, .1957, AS& and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
ISSUED TO: Qrh pf v~l~rME.,,,-v PROPERTY LOCATION: W►ti Lv<,p,, Q„a
SUBDIVISION LOT # 54
Facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes _X, No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** C..v~c o N p L (Initial) Wastewater Flow: 4514 GPD
(See note below, if applicable
C-0 rA -1 6~sC ` o r4 (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size Ito gallons Exact length of each trench
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of•
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +1-114"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover. 11 inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
f inches total
"*If applicable: /understand the ryrtem type .rpecibed it di&-ent fiom the type specified on the app/ication. / accept the .rpecidcationr of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject r~rr 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 su~ct to wmplian th t ovi of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
%w
Authorized State Agent: Date: ~3 a`►
o struction Authorization Expiration Date: c.
HTE#
ISSUED TO:
Authorized State Agent:
Permit IT 2.S :014;6
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ~L~ Lvc,p,S P~
SUBDIVISION C.P,aoL~NV~ Qgcs LOT #
(~tw Est 1 Ot xs~jQ~ Date:
30, 100
arz ~~~s a6E GAsF
i 5 " sE'CBAC.,v~
CONY E.N-T ~0"AL,
I PEPp,,0_ I
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1`111
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L
1 ~
n
37" ~
C-P&OL-x0A OAY-,s. Cwt.-
Department of Environment, Health, and Natural Resources
Division of Environmental Health'
Dn-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address:
Proposed Facility: t,.\ \A U4,, Design Flow (.1949):
Location of Site:
Water Supply: Public [ ] Individual [ ] Well
Evaluation Method: uger Boring [ ] Pit
Type of Wastewater: ewage [ j Industrial Process
Date Evaluated: 4a46°\
Property Size:
Property Recorded:
Spring [ ] Other
[ j Cut
[ ] Mixed
P
-
R
j O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.194Q
Landscape
Position
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
1942.
Soil
Wetness/
Color
.1943
Soil
Depth (IN.`
1956
Sapro
Cl 7
.1944
Restr
Honz
Profile
Class
R LTAR
+ 5 b
o-114'`
b
1y-X:
1(3~
s s y
J
Description
Initial System
epair System
available Space (.1945)
System Type(s)
C -9j +v
C0r14
Site LTAR
' re
, S
Other Factors (.1946): _
Site Classification (.1948): f-5
Evaluated By:
Others Present: