IPACHTE# Oc'~-5-~Q34' Harnett County Department of Public Health 25551
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: b Yl Co PROPERTY LOCATION: ~~.v&.t_ gti.AC.yC 2.D
`5'~ `t'UC'< OQ15 ~N G SUBDIVISION won 6~~ '>P%' ~ PH 3 LOT # 13f
NEW)( REPAIR ❑ E~ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 9 L,STQ -,-y
Proposed Wastewater System Type: Co N V P_ .r: v d t4
A L,
Projected Daily flow: 3(c,0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'E~No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 166 feet
Permit conditions:
Permit valid for
Five years
❑ No expiration
Authorized State Agent:--~~~~ 2+;.
The issuance of this permit by the Health Department in no way guarantees the issuance o e
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement
the Caws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: -11-1101 SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
t 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, .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: N 4 C-, Nr, CZ,j c17oc16 l', L PROPERTY LOCATION: I--Et,\v c,
SUBDIVISION Co¢~,~-s C~acs H3 LOT # 13~
Facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~M. No Basement Fixtures? ❑ Yes X No
Type of Wastewater System**
_Q- +.,-4 G.. -tl %QW F•,
(See note below, if applicable
C. >vvE,,f-; •c, N S.' (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size L o a a
gallons Exact length of each trench vs O feet
Pump Tank Size
gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: N -3b inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements:
ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: 13 4, _ GPD
Trench Spacing: cl Feet on Center
Soil (over: - t~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
C inches below pipe
7- inches above pipe
inches total
**If applicable: / underrtand the system type .rpeciTed it different from the type specified on the app/ ,wa n. / accept the rpecircationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rev i if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred whop tharo it Construction Authorization is su to compliance the ion the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 9_- Date: --7 7 0q
Co uction Authorization Expiration Date: 7 )
i
HTE# Permit # asp" )
Harnett ('ounty Department of M-iblic Health
Site Sketch
PROPERTY LOCATON: L G- G U LAt rC
ISSUED T0: Y 1- C ri U c,-, tv L SUBDIVISION ~ottES c d ..ts lp A 3 LOT # \3--(-
Authorized State Agent: U1 v To Lle 5 po Date: 1 't l d~
t0►~
I u~NVEN,
i.E.PA~¢ I
I Ra.4.A
5
WC-LU n&5
PAS Not
61-
fl
Q ~
~ 3G
v
c
,,,,-l- , rroperry iu:
On-site Wastewater Section Lot
File
SOIL/SITE E Ax UATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: 34>ZQN n% N,0 Design Flow (.1949): 36d 1~'),
Location of Site:
Water Supply: Public [ ] Individual [ ] Well
Evaluation Method: [ uger Boring [ ]Pit
Type of Wastewater. Doewage [ j Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ j Spring
[ j Cut
[ ] Mixed
[ 1 Other,
P
-
R
O
SOIL MORPHOLOGY
OTHER
F
1941`
_'PROFILE FACTORS
1
1940
942
L
" Landscape
Horizon
194
1 .1941'
Soil -
`_1943 ;
.1956 1944
Profile
E
Positionl
Depth
Structure/
Consistence
Wetness!
Soil=
Sap[cD
Restr
Class
#
Slope%
(IN.)
Texture
Mineralogy _
Color
Depth(IN)
Class Heriz
~ LTAR
]
t S
S=7
s~~
s
_ ,~s 4
S
c
Description
Initial System
-
/Repair System
Available Space (.1945)
7
_j
System Type(s)
CD N
C-o N
Site LTAR
4
Other Factors (.1946):
Site Classification (.1948): 5
Evaluated By: 07
Others Present: