IPACHTE# OP~Harnett County Department of Public Health 2 5 5 5 7
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NC;'~-11 \14F
ISSUED TO: Clv m~F~2d P,N 9 N\orn L5 SUBDIVISION --P,utt~ t V Pau E~ LOT #
NEW'X REPAIR ❑ EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: y ae t o°!e 1 ~TcDV T U >J
Projected Daily Flow: 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: 1~lYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '~K Public ❑ Well Distance from well LcUO feet Permit valid for. Xive years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: 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 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 Improve t 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, .(954, .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 TO: cu rv~6elj? "o t~nL-S PROPERTY LOCATION: N ~ ~Es-s
SUBDIVISION 1-5"1094z_ VtLAS--t LOT # _
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'IR No Basement Fixtures? ❑ Yes '~XNo
Type of Wastewater System' 9urn9--T o Zj' STr S~sovct\oN (Initial) Wastewater Flow: 3~4 GPD
(See note below, if applicable
Py.ne~o 2.S°la G~c=,~ucsc~o~► (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size VOoo gallons Exact length of each trench • feet Trench Spacing: Feet on Center
Pump Tank Size v0oo gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 1'a. inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: ~'lsattnuM oz 6s'of coves Z.Qva a co 0vey. inches total
**If applicable: /understand the system type rpeci6ed it dillerent from the type rpeciGed on the app/ication. / accept the fpecifbtionr of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the Site Dian. nlat. or the intended use changes The Cnncrrurtinn Authnrivannn shall not ho tranda-d Whon th>ro a A- . in er<htn „t the i.. Thi,
Construction Authorization is subject to compliance t f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~-S Date: -711101
Constr 'on Authorization Expiration Date: J1.011)4
HTE# Permit # DS s5-l
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ~C.a1 W EsT
ISSUED TO: Cu K, p~Est i. ~~oM SUBDIVISION L FW"L V ALZ.Ey LOT #
Authorized State Agent: `\Z S Louv~"~o~rsn~¢ Date: `I °1 O
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Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: 3 433) _C0 e` ~m~,, Design Flow (.1949): d
Location of Site:
of 1Wtll.
Property ID:
Lot *
File *
Code:
Applicant:
Water Supply: Xpubik ( J Individual (J Well
Evaluation Method: -Auger Boring [ j Pit
Type of Wastewater: 11.1Sewage (j Industrial Process
Date Evaluated: 110'\
Property Size:
Property Recorded:
( j Spring (J Other
(j Cut
( ],Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
6
.1940
Landscape
Position/
SI 9f.
Horizon
Depth
(IN.),
.1941
Structural
Texture
.1941
Consistence
hNner+i
.1942 .
SoN
Wetnow
Color
.1943
SON
Depth IN.)
AN
Saps
Class
.1944
f Restr-
Norlt
ProAle .
Class
<AR
'gyp
V
56 `aG4
S5~
1
6
O
~
5
v FN r~1 yrP
T`~
6
163
3~
ss~
tf
G -5
\J!Rj ~.3)"Sq
'o.. C'
<
3S
Description
lnilIal stem
Re it System
Available Space (.1945)
U
Syst em Type(s)
A0 1
TAB
Other Factors (.1946): _
Site Classification (.1948):?5
Evaluated By: Qr\
Others Present:
5 ~ ~hL C Q¢c~ X2.5 P2L P