IPACHTE# Harnett County Department of Public Health 2 5 5 8 9
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
\ PROPERTY LOCATION: Nc~7u
ISSUED TO: CU inB60)-P*4.0 `r►O (.fig lr-4 C~ SUBDIVISION M % 82A.vGA LOT # G'I
NEWIK REPAIR ❑PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Svc) ~5d ><3<%'
Proposed Wastewater System Type: Cowv~•.rt~ o" NI,
Projected Daily Flow: (-0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: El Community, Public El Well Distance from well 100 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: Q ~a dI y SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit holder is resp nsible 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 Improvem t 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: CV m4Esz1 P+~+p ~oK+Cs l•.s C PROPERTY LOCATION: 1s1~•.t
SUBDIVISION r\ ~aE v2P v, LOT # C-
-Facility Type: SC'O~Sp35~ New ❑ Expansion ❑ Repair `Xf Basement? ❑ Yes No Basement Fixtures? ❑ Yes X1 No
Type of Wastewater System" Co r,, v eJ-~ ,CJ N 0-L (Initial) Wastewater Flow: 3(;b GPD
(See note below, if applicable
C.o ~rv~r TC•o t t XL- (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size l.b ®b gallons Exact length of each trench LQQ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I1`3,J 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
1 1. inches total
If applicable: l underftand the fyftem type fpecided it different from the type fpec16ed an the application. / accept the fpecilmvli of of this permit.
Owner/Legal Representative Signature: Date:
"'°°t°" ~`~~a~~~~~ y1411, pmt m Lift mneuueu use cnanges. ine construction Autnonzanon shall not be transferred when there is a change in ownership of the site. This
Construction Authonzation is subject to complian t to s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: °lav ►oLxsootzt; Date: B 0~
struction Authorization Expiration Date: 1
HTE# C)) -5 X531 Permit # 2,55~cl
Harnett Connty Depaxtment of -h blic Health
Site Sketch
PROPERTY LOCATON: Nc;zcl `mil
ISSUED TO: C u rnaE nD U r,t-.:5 1 He- SUBDIVISION M NaL- &.Q,Nc. A LOT # ~`1
Authorized State Agent: `OL~vErz ►oLYS~j Date: 11aa 0~
Jepar1110dill UI C11V11 Ullllltflll, riddllil, d11U NdWldl r%t?,UUILHJ
)ivision of Environmental Health
On-site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: Design Flow (.1949):
Location of Site:
J. lu"t.
Property ID:
Lot W
Fite
Code:
Applicant:
Water Supply: [ [ Public [ [ Individual [ j Well
Evaluation Method: [ j Auger Boring (j Pit
Type of Wastewater: (j Sewage [ j Industrial Process
I'L
Date Evaluated:
Property Size:
Property Recorded:
( j Spring
( )Cut
( j Mixed
[ j Other
SOIL M
ORPHOLOGY
.1941
O
PROFIL
THER
E FACTO
RS
.1940
Landscape
Pos9iord
S"%
1-5
HwIzon
Depth
IN.
0-4):1
.1941
ShwhK01
Texture
G SL
.1941
consistence
M1011 a
xi, ~xs N
.1942.
Soli
Wet mwe
color
.1943
Sol
000 K)
.19M
Sapnrt
clan
s .1944
~ Re*.
Horiz
ProAle ,
CIO"
& LTAR
g
o
Q 6
G
VR es
5
CG 5 v
JF'it r ~~4
Description
Initial stem
epair System
Available Space (.1945)
.System Type(s)
Cj-' "j
Gtr r,i
1 c> 1 1 1
Other Factors (.1946): p
Site Classification (.1948): i
Evaluated By,