IPACHTE# 09 - s~as Harnett County Department of Public Health 2 5 5 8 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N\-I
ISSUED TO: C- r) eGALl-ter- 9 HC' M E 5 tv SUBDIVISION s 2 E g0_P.N
LOT # 4_
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: f) k-S~?kL)%/
Proposed Wastewater System Type: N v E tv ti,
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ",May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well Ddb feet
Permit conditions:
Permit valid for: Five years
❑ No expiration
Authorized State Agent.: Date: $ t`7) O~
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc 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 T0: C-v thQ,FfLt P.~+S~ ~or,trs 1•+ L PROPERTY LOCATION: \-J
SUBDIVISION M iiL6 LOT # L 1
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~R No Basement Fixtures? ❑ Yes AND
Type of Wastewater System** Go~.ry(--3T t0 ri (Initial) Wastewater Flow: S(-O GPD
(See note below, if applicable
" V E'ma N 4"L
Installation Requirements/Conditions
Septic Tank Size I C00 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs,
Conditions:
r)
Number of trenches 2.,
Exact length of each trench -1 S~ feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 3,4 -30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. 1-,I- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
a inches above pipe
S~ inches total
**If applicable: l understand the ryrtein ty pe pecI/ied it different from the type apeciTed on the application. l accept the rpeci6tationr of thi permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site man. nlar or rho intonAPA nap rhu- Th. r~ocnurrfn~ a „t a <a,u tie - s,. A A.- - - 1~
Construction Authorization is subject to compliance w fist, of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: R S Date: 8 1_7 o
ruction Authorization Expiration Date: 8
NTE# C)~A Permit # 55g1
Harnett County Department of M-iblic Health.
Site ketch
PROPERTY LOCATON: Ny--- l W
ISSUED TO: GuMC~- LRNfl ~~pMC^'S \N~ SUBDIVISION M~Lq.-i6no%t4 N LOT# LA 1
Authorized State Agent: ~S~~w s1t -c0u---,000- Date: 1`1 4 _
aod'
loo'
5v>JCz-ro6E pp.rj G
ueparrllll'ta ul CIIV tI VIII IiCIII, fiCd1U1, d11U NdlUldl r\CJVUILCJ
Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: 3 (NW tLoDgr% 1*Vi'(t Design Flow (.1949): ✓4~0
Location of Site:
J11CCl.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: ~IkPubllc [ J Individual [ ] Well
Evaluation Method: %t Auger Boring [ J Pit
Type of Wastewater: `f \tSewage (J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
( ) Spring
( J Cut
( j Mixed
[ J Other
P
R
O
F
SOIL M
ORPHOLOGY
.1941
O
PROFIL
THER
E FACTO
S
1
L
E
is
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.
G'ZY (
.1941
Structure/
Texture
6 5
1941
Consistence
Mineralogy
11=9 ti s~'~+P
1942
So*
Wetne"t
Color
.1943
SoM
Depth IN.)
.1988
Sapra
Class
.1944
Restr
Horiz
Profile ,
Class
3 LTAR
S •`t
a S°la
`
G
Q-3-14'
~
GL-
sL 55
r
~L>✓~~
~ se)
'rrV S 5/5
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
'
Go n)
Other Factors (.1946): _
Site Classification (.1948): S
Evaluated By: 0_'~
Others Present:,---'-