IPACHTE#p°1
Harnett County Department of Public Health 2 5 3 3 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~2oo~cS
ISSUED TO: (L~G-Pc/TdrS SUBDIVISION L LOT # 21*4
NEWX REPAIR ❑ E(PANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Mo t4 ,~oME_ -;-'q'L}
Proposed Wastewater System Type: Pv me w v C r4 -4 Lo rt a,t-
Projected Daily Flow: 0C> GPD
Number of bedrooms: Number of Occupants: l~ max
Basement ❑Yes )r, No
Pump Requirea"I~Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community . Public ❑ Well Distance from well tO(~) feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Date:
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the issuance
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: C~SEE ATTACHED SITE SKETCH
s. The permit holder is respon ible for checking with appropriate governing bodies in meeting their requirements. This
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, .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: SaA~.r C act~CEA `i-~-P+y~o~y Nvt~.L~ PROPERTY LOCATION: aaoo~ o Gv cr
SUBDIVISION L--"O~-J P . 1.11tiL LOT # 3 - Li_
Facility Type: X'New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes _No
Type of Wastewater System" P~.re-To Cost - ~aS SON Al_ (Initial) Wastewater Flow: GPD
(See note below, if applicable
QvMe~o -1bucx~ort (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size 115(n gallons Exact length of each trench "1O feet
Pump Tank Size s`~ SCE gallons Trenches shall be installed on contour at a
Maximum Trench Depth of _ 11:2 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: c) Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
*If applicable: /understand the system type specified is different from the type specified on the application. /accept the specifications of this permit.
Owner/Legal Representative Signature: _
This Construction Authorization is su`41 n if
Construction Authorization is subiact to comoliance with
Authorized State Agent:
or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
R--; Date: r-
Construct) uthorization Expiration Date: r. ~°I ),'3
HTE# Permit # Z~ S339
Harnett County Department of 1'~lbli c Health
Site Sketch
ERTY LOCATON:
ISSUED T0: Jew N C ~C3-p y T or, lo+,f SUBDIVISION LOT # 3
Authorized State Agent. Q5 (a~w6s~ -~aL~Spoc~ Date: wt '01
?4:~ ✓QDplll t,hb "SS
310,
1,14'
3IC
Q azoo,(.s M atic u," Q-D
uepartme, it Ul C„vl,unnlent, 1-10CdlU 1, d11U 14dtUldl McSUUIt.eJ
Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
JI leet.
Property ID:
Lot
File
Code:
Applicant:
Design Flow (.1949): )c )
Public [ I Individual (J Well
Auger Boring Pit
(Sewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
( ] Spring
( j Cut
( j Mixed
I
( J Other
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
0
.1940
Landscape
PositloN
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
I Texture
.1941
Consistence
Mineralogy
.1942
SoN
Wetness/'
Color
.1943
SON
Depth IN.)
.1956
Sapra
Class
; .19"
Re*
Horiz
Profile ,
Class
3 LTAR
V 5GL
{z S v
'tl~
~cZ,
r~ s) s
6
4
L
Ivy ~ 'o
Description
Initial System
Repair System
Available Space (.1945)
1/
V,
,System Type(s)
P -
C+ c
e0
~~uQ+
Site LIAR
• 415'
1" t
Other Factors (.1946):
Site Classification (.1948): 1~5
Evaluated By:
Others Present