IPACHTE# s-'-Lk) Harnett County Department of Public Health 2 5 5 9 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~n ns OE2c,i c,
ISSUED TO: C, rn 0tr2 Hp c~S SUBDIVISION CRno La N p. quo t~s LOT # -11
NEW X REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: VQ
Proposed Wastewater System Type: ~~tv~,~-t~oN.Kt_
Projected Daily Flow: 3t-0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well X06 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent: ! e-S Date: C7°1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t uance 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: C) M'6- -~9 PROPERTY LOCATION: ~oNoErwsA
SUBDIVISION CPQOL.N H St~,~oN g LOT # 1
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'KNo
Type of Wastewater System** C.-oNt ~QJ N S*' l✓ (Initial) Wastewater Flow: GPD
(See note below, if applicable
~o+vy6N>> P. L (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 Oo d gallons Exact length of each trench J4 feet Trench Spacing: C) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: Q. inches above pipe
Conditions: .2~\ inches total
**If applicable: /understand the ystem type pecified is different from the type specified on the application. / accept the specifications of thi permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r f the sit ~n,
an, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is t.. compliance a h
e taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~ Ze Date:
n Authorization Expiration Date:
HTE# Permit # 265715
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ?00mZOA 1.z
ISSUED TO: C-v rY, Nfl Es SUBDIVISION Cnaot~ Q SFASO.tS LOT # '73
Authorized State Agent oi-~vfst,'TOtKS~ Date: 'BI-.n I 0,z,
Nkf04v 6 GT
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed FacilitY:3 fn Design Flow (.1949): Sic
Location of Site: Property Recorded:
Water Supply: rAuger lic ❑ Individual ❑ Well
Evaluation Method: Boring ❑ Pit ❑
Type of Wastewater: wage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
1
Landscape
Position/
Slope's
L~
Horizon
Depth
(1a)
.1941
Stnwchmw
Textwre
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
ReAr
Horiz
Profile
Class
& LTAR
L
Deacritrtion Initial Repair System Other Factors (.1946):--
S st Site Classification (.1945): 5
Available S ce .1945 Evaluated By: Cr
system Tn*s) C" a cc
q n Others Present:
Site LTAR 3x ~ d C.