IPAC.
HTE#00~ Ha( hiett County Department of Public dealth 2 5 3 4 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1N1-E114 U
ISSUED TO: P'~ C-tl~"~~a.Lx~HG ,►.,G SUBDIVISION _'~"sr~,cE+~ Pt-ac.V. LOT #
NEW X REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFM ~y9 `K 51
Proposed Wastewater System Type: -41410r?- qV
C ocvvrcn~~enro.t
Projected Daily Flow: 3E+a GPD
Number of bedrooms: 3 Number of Occupants: 16 max
Basement Dyes X No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well \00 feet
Permit conditions:
Permit valid for. five years
❑ No expiration
Authorized State Agent: Date: "7 1IV) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issoanc other permits. The permit holder is sponsible 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.~+-~2AC~~~•s C N G.
Facility Type: 'W'D ("q'{sS) New
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes
Type of Wastewater System** CcvYG t rxcJ";>,L_
(See note below, if applicable
PROPERTY LOCATION: -TtNM-N
SUBDIVISION '~Ci~sc,~r r Qt_t>~ LOT #
❑ Expansion ❑ Repair
No
(Initial) Wastewater Flow: GPD
rrvEtv-C otvp.L. (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size tOO(3 gallons Exact length of each trench x,50 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 3-_"-_3 Inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth.
inches below pipe
inches above pipe
a- inches total
**If applicable: / understand the system type speciped is different from the type specified on the application. / accept the specidcationf of this permit
Owner/Legal Representative Signature: Date:
mu Lmnuucuon aumorizaiion is snolect to revocation n the site plan, plat, or me mtenaed use changes. the Lonstruction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is to corn ca h the ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Rb Date: -1 Mn
onstruction Authorization Expiration Date: 7 1 Lit
HTE# Permit # a53L1`$
Harnett County Department of I'ublic Health
Site ketch
PROPERTY LOCATON: -T ~j
ISSUED T0: rrctA~'~~N L SUBDIVISION N6EN Q c~ LOT #
Authorized State Agent AS 1-vv U.:014-->060- Date: 7~ 118
4~fi,pw ~ r.~ G
h}CS
-'n`
~o
ovc~o Pov'ED-
~7~vvE~tctyp,~
(Z6PK%2 \
\ \ Q~GA
~S
\`l l Uc~ 4
2
uepartmum ui wnvlluff"'u u, ntldnn, ditu IVdtu'-" rt ul'tla
Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Property ID:
Lot
File
Code:
Owner:
Applicant:
Address:
N p-f
"
\
1949): Zl
Design Flow (
Proposed Facility:
3
rW,,
.
Location of Site:
Water Supply:
Public
Individual [ ] Well
Evaluation Method:
Auger Boring
[ ] Pit
Type of Wastewater:
tKewage
[ ] Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
( ] Spring [ j Other
[ j Cut
( ] Mixed
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
it
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Sol
Wetness/'
Color
.1943
SoN
Depth IN.)
.1968
Sapm
Class
.19"
Restr
Horiz
Profile ,
Class
3 LTAR
t
0--1.kTo
6-4`1;
5
Fr, Ns ~'f
5.4
L
G S
vin l~►~
.9
Description
initial S stem
Re air System
Available Space (.1945)
System Type(s)
_
79
Other Factors (.1946): -
Site Classification (.1948):
J
Evaluated By: (3"7
nthnra 13--nt-