IPACHTE# o -s - z)~, 3rg Harnett County Department of Public Health 2 5 2 9 0
Improvement Permit
A building permit cannot be issued with only an Improvement Per t
PROPERTY LOCATION: S~2 A'13 i 71'% clzr~cotc; ~
ISSUED TO- T,,.San CoaSr,~,,C'f sj A SUBDIVISION C arcs l ent '57-- ~ S LOT # `7
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
:5-F 0
Proposed Wastewater System Type: Co ttle.~
Projected Daily Flow: , (o GPD
Number of bedrooms: L7 Number of Occupants: L max
Basement ❑Yes N,
Pump Required: ❑Yes L No ❑~Ma required based on final location and elevations of facilities
Type of Water Supply: El Community 5 Public ❑ Well Distance from well feet Permit valid for: L~'Frve years
Permit conditions: ❑ No expiration
Authorized State Agent:: r- J. Date: 7/10 /.2001 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible 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 ASS, .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: c-o, re Yt ~,^;cc Co~T~yvG ;v PROPERTY LOCATION: S~e /Z
SUBDIVISION C --.-o, I .-tcs arc+ it' LOT # '7 Z
Facility Type: S41:~ [;/New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Ye ❑ No
Type of Wastewater System** C d ti J'-'L a=~ (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
cZS.n X--4-c.4: v, (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 000 gallons Exact length of each trench 15-0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: / Feet on Center
Soil Cover 12, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Iitions: IC,,% cAd`t> •r 1,~c1 4A Cow +cs:;'r, COUS(~ ~rS Aggregate Depth:
xor
inches below pipe
inches above pipe
inches total
**If applicable: /understand the system type specified is different from the type specified on the app/ication / accept the specill'wionr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian. Dlat or the intended use chanuM The Cnnctrictinn AuthAmatinn chill n„ t ho rr~~crorrod whom tha.a , ,h,..,., r TL;,
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disoosal and to the randitinnc of thlc nermit uF ATTAriun UTF WFUN
Authorized State Agent f Date: 7 aA Q
Construction Authorization Expiration Date: ~dc
HTE# O 9 = -7-13 5'-Y Permit # ak $ d- ~ 0
Harnett County Department of I'llblic Health
Site Sketch
/ PROPERTY LOCATON: ~S2 la~l p" ~~c~cf4 /ed.
ISSUED T0: ~iG~rh~~~ SUBDIVISION aro J«,J---tf LOT # 7
Authorized State Agent: Date: ~ 210 1,2,v Q 9
r
G!
6~
ueparulltrnl ui cnvuunnlnnl, rlVdllll, dllU IVdlUldl r%ebUU1l.tf*
Division of Environmental Health
On-site Wastewater Section
SOILrSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM[
01 mul.
Property ID:
Lot t
File
Code:
Owner:
Applicant:
Address:
Date Evaluated
:
Proposed Facility:
Design Flow (.1949):
Property Size
:
Location of Site:
Property Recorded
:
Water Supply:
(1 r Inc
(J Individual
(J Wei [)Spring
[)Other
Evaluation Method:
r Boring
[ 7
[)Pit [ J Cut
Type of Wastewater.
Se
[ g e
[ J Industrial Process (j Mixed
P
R
o
SOIL MORPHOLOGY
OTHER
F
.1941
PROFILE FACTORS
1
.1940
.1942
L
Landscape
Hod=
.1941
.1941
Sol .1943
.1956
.1944
ProAle
E
Position/
Depth
Strudws/
Conn1161101"
W*bWi P SoN
Sapna
Resfk'
Class
6
S "m%
(IN.) I
Texture
miromlogy
color Depth IN)
Class
Horis
3 LTAR
(I ~
Y~
C) _V l f oUf
Other Factors (.1946):
Site Classification (.1048):f S
Evaluated By:
Others Present: