IPACHTE# 0'0~ -5- DWfj 0 Harnett County Department of Public Health 2 5 5 7 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~o~~CszoS~ ISSUED TO: LL(:-
SUBDIVISION _ CA2oLtrta S~y►Sa ~.t~ LOT #
NEW A REPAIR ❑ E~NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S vo ~,S I S i'
Proposed Wastewater System Type: C Co 41V .rT"(\a" rNt_
Projected Daily Flow: L +S GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes ~K No
Pump Required: ❑Yes ❑ No e,K1 May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t 00 feet} Permit valid for. ,Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: _ Q.5 _ Date: 3 \3 1 d°I SEE ATTACHED SITE SKETCH
The issuance of this permit by the health Department in no way guarantees the ce 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 .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: M e N ¢S --1-~- PROPERTY LOCATION: ell oEGZ as R-f-\,\ s--
SUBDIVISION S f-UGo+AS LOT # X0`7
Facility Type: S'F b ( 51'A S t~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures. ❑ Yes No
Type of Wastewater System" CO r V C ~ ~ a N c.L (Initial) Wastewater Flow: 4'90 GPD
(See note below, if applicable
CoNvE,V N6 t'j N (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size to00 gallons Exact length of each trench 50 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. &14-30 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: inches total
"If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the specilcations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the in Jed use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subjectcorxpance with the p of the and Rule Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: _1`111 N~ `\a N~L ~ R-S Date: '8
Construction btkization Expiration Date: _8
HTE# Permit # QLSS-73
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION G A~ t-~• ~E.o 0+~5 LOT #
Authorized State Agent: ¢ (At-jEk-Tc ksoo(~Date: 8
i cc)
ts;~
t- )9/
boo
G j, .r ej t...~ , ws _~a
UepartlIIelIt UI c11Vi1UtI[IItllIt, r'lt:dltll, d11U IVdtUldl MtlJUUlt t!Za 01ltmt.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILiSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant:
Address:
Proposed Facility: Lj C ECQMj+ , ~A00 ~
Design Flow (.1949): `$d~ ~
Location of Site:
Water Supply:
j Public
/
[ J Individual (j We"
Evaluation Method:
Auger Boring
[ ]Pit
Type of Wastewater:
Sewage
[ I Industrial Process
R
p SOIL MORPHOLOGY
.1941
F
1
.1940
L
Landscape
Horizon
.194111
E
Position/
Depth
Structure/
#
Slope%
IIN.)
Texture
T
L5
~
V 4'6
o -od
I ~ I 1 I t~
1,13
G s
.1941
Consistence
Mineraloff
Ik5 )v
Date Evaluated: )0c,A
Property Size:
Property Recorded:
[ ] Spring [ J Other
[ ] Cut
[ j Mixed
OTHER
PROFILE FACTORS
.1942
Son/
.1943
.1988
.1944`
Profile ;
Wetness/'
SoM
Sapro
Restr
Class
Color
Depth IN.)
Class
Horiz
& LTAR
S. ~
P5
5 1(
Description
Initial S stem
R pair System
Available Space (.1945)
System Type(s)
Ct N
Cv.J
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: -
Others Present: