IPACHTE# I Harnett County Department of Public Health 2 5 5 6 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
e PROPERTY LOCATION: \A I" W1`~-T
ISSUED TO: C1EZNC,-vA ~OME~ M ~1~ SUBDIVISION % N6fi%s LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: E5;c0433 x`-y
Proposed Wastewater System Type: @8 /7 r, %CNoN Sy4CE.r
Projected Daily Flow: 3Lo GPD
Number of bedrooms: Number of Occupants: C- max
Basement ❑Yes .<No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~K Public ❑ Well Distance from well 100 feet{ Permit valid for. >~ive years
Permit conditions: `Z- ❑ No expiration
Authorized State Agent:: - 9-.3 Date: Fl I'~I`1` t39 - SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance other permits. The permit holher is 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 .1950, .1952, .1954, .1955, AN, .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 T0: ~r~~cc2,~ eJ
t 1om~sSrti i~-1 PROPERTY LOCATION: \A wy ~C 1 ~ 4
SUBDIVISION l tti+Gell-
Vcir ~ LOT #
facility Type: S C33 -1 L4
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes No
Type of Wastewater System"
!P\T--0uc.'qsrJN I/ £-WN
(Initial) Wastewater Flow: GIRD
(See note below, if applicable
Qr, M •P Q
Cv^t~F.~L is N-RL_ (Repair)
Installation Requirements/Conditions
Number of trenches - 5
Septic Tank Size ~o ed
gallons
Exact length of each trench (:,a feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: f, inches
Maximum Trench Depth of: a LA_ 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
(onditions: His pe,,,,,; l
i) O.,
peasP.L L~<,p, 5
Aggregate Depth: inches above pipe
So ~ inches total
'*If applicable: / andeatand the system type specified /s different from the type specified on the application. / accept the specilcations of this permit
Owner/Legal Representative Signat Date:
This Construction Authorization is subject to revocation i ite plan, lat, 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 ct (compliance with t yon e~ ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: "7 0`1
Constru ~n Authorization Expiration Date: 4 1N
HTE # _ C cl Permit # 3.556$
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: \AwV--X I W
ISSUED TO: ct.u~c to ~cr+c SUBDIVISION `1 -s6 Rots: LOT # IL
Authorized State Agent ~ R4, G L-~ V t ToW~S~O~ Date: _ d
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Division of Environmental Health
On-site Wastewater Section
SOILrSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM[
Owner:
Address:
Proposed Facility: 3 1,.~a_r,-jt (h ~d Design Flow (.1949):3 0 ~
Location of Site:
011Ctll.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public Individual (J Well
Evaluation Method: Auger Boring [ j Pit
Type of Wastewater. Sewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
(j Spring
( J Cut
(j Mixed
[ I Other
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Sol
Wetness/'
Color
.1943
SON
Depth IN.)
.1986
Sapra
Class
.1944'
Restr
Horiz
I
Profile ,
Class
& LTAR
(a-r?
L s
fin,- 5~ rtQ
1~
93u sc i
r% s~'C
Q,
\rpn, -A5 1,4
Description
Initial System
epair System
Available Space (.1945)
System Type(s)
c r~
Site LTAR
j
Other Factors (,1946):
Site Classification (.1948): V<~
Evaluated.By:~
Others Present: M\'Kl'tW3-W-