IPACHTE# Harnett County Department of Public Health 2 5 5 7 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: )i t 6~ VID
ISSUED TO: SUBDIVISION cjE- LOT # .3~_
NEW X REPAIR ❑ - EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SAO (tt~ ~5~~
Proposed Wastewater System Type: C-,v~ N ~ ~o N P,
Projected Daily Flow: 3~0 GPD
Number of bedrooms: Number of Occupants: 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 '15K Public ❑ Well Distance from well Lt 7C feet } Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent.:
The issuance of this permit by the Health Department in no way guarantees the issuanc
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvemf
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: -~8 )10 Ian SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
emit 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, .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: PAC CAN c c (
, )i"-~ c PROPERTY LOCATION:
Facility Type: S~SJ~'~~b
Basement? ❑ Yes '-'Q, No
Type of Wastewater System** _
(See note below, if applicable
X New
Basement Fixtures? ❑ Yes
CO rv v r "-S ~ 0 N V" L_.
C.a sv 'J E f 5'v ON ~x U-
Installation Requirements/Conditions
Septic Tank Size N 0 C~ gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
r)
Number of trenches I
Exact length of each trench 1
Trenches shall be installed on contour at a
Maximum Trench Depth of: ~-'A-30
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Aggregate Depth:
_ inches below pipe
inches above pipe
inches total
**If applicable: / understand the ryrtem type .rpeci6ed it different from the type rpecifled on the 3pp&36n. / accept the .rpeci6c3tionf of this permit,
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to Tevaeation if the site plan, plat or the intended use chances The rnnttnirtinn htharmtinn halt not he &-f.-d Whn„ A.- i. , .6,,,..e . A;6 ,.r A- ; . U;,
Construction Authorization is
compliance with th~Ero Aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SUBDIVISION -V~ u6F--
❑ Expansion ❑ Repair
~Z,No
LOT # 2)'~_
(Initial) Wastewater Flow: ?>60 GPD
feet Trench Spacing: Feet on Center
Soil Cover: 1-4,.-"~ inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
b- _...r
.SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1 a (q
Constructfo Authorization Expiration Date: 1€~
HTE# Permit #
Harnett County Department of Public Health
Site Sketch.
PROPERTY LOCATON: ~ s~6Esv
ISSUED T0: a Cc , SUBDIVISION 1 v Q c G LOT # 3 'j
Authorized State Agent Date:
IM/
C 0-css"AUS co,~~>
leparutittin u, CIIVIIU11111C11t, rI%jd1U1, dnu Ivdwldl 11tdbuU11.1"
)Ivision of Environmental Health
Dn-site Wastewater Section
SOILiSITE EVALUATION
for 0',4-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: mDesign Flow (.1949):3 OcJ('
Location of Site:
JI Itm%.
Property ID:
Lot #
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
(J Spring (j Other
(J Cut
( ) Mixed
Water Supply: Public (J Individual (J Well
Evaluation Method: Auger Boring Pit
Type of Wastewater. Sewage [ J Industrial Process
P
R
SOIL MORPHOLOGY
O
.1941
F
I
.1940
L
Landscape
Horizon
.1941
1911
E
Position/
Depth
ShuchmW
Consistence
it
S1,006%
IN
Texture
mlineralogy
.
(
11-9
cJ- A
S
vr=n,
d=~v
1 0-2);51 1 C,
Z, I r-1
Description
Initial S s m
Re lr S stem
Available Space (.1945)
S stem Type(s)
I . a 1 .1:4 1
OTHER
PROFILE FACTORS
.1942
Soil .1943 . i 9N i .1944
Webresar Sol Ssprv Re*
Color Depth (111.) Cisse Hods
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
rllhnre Pracant,
l
T_$