IPACH T E # c~-s-aao Harnett County Department of Public Health 25651
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: MACty ~ Pz,
ISSUED TO: W n . ~E ~~ESU~ IN cr SUBDIVISION ~~.aEFcx1D LOT # -1
NEW'. REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCp n5
Proposed Wastewater System Type: CoNV ~t~,L
Projected Daily Flow: 3b~ GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes A No ❑ May be required based on final location and elevations of facilities k
Type of Water Supply: ❑ Community >4, Public ❑ Well Distance from well ICO feet Permit valid for. Five years
Permit conditions: A ❑ No expiration
Authorized State Agent: Date: $ 4
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu 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 Improve 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 TO: \Am . ~ ~FRg-. LNt✓ PROPERTY LOCATION: M-o,2--~ 9.0
SUBDIVISION ~1n),EEo¢A LOT # 1,
Facility Type: SF S7 ~S~'`SY~/ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ~X No
Type of Wastewater System** C-6, NvE-N-VN i"Xv- (Initial) Wastewater Flow: --4J60 GPD
(See note below, if applicable
C'° wvE„~ ~ c, ry a" (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size v o bf) gallons Exact length of each trench 50 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover to lib inches
Maximum Trench Depth of. ay+-3Q 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
A regate Depth: inches above pipe
Conditions: ti<a L ~N~ C'~vyc A-c 1-~e~~ gyp's, Etc z pt~2~s CSc= `t - sG inches total
0
,,,y ~r 2K c~ ~r
**If applicable: / underrtand the ryrtem type rpeci6ed it diBerent from the type fpeclfed on the app/ication. /accept the rpecificationr of thi permit
uwneryt.egal nepresentatfve e: Date:
This Construction Authorization is subject to revocation i ite plan, 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 b t to compliant th mi ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: LS Date: '8
Construc n Authorization Expiration Date:
HTE# 0cl-~- Permit # a`~,S }
ISSUED TO: \14 M
Authorized State Agent:
Harnett County Department of I'>«blic Health
Site ketch
p PROPERTY LOCATON: t~1 t.cL,c,S ~o
SUBDIVISION P.sY,EFogo LOT # 1
~S W Llv Ert jotx Sp 03'6 Date:
~?0
Igo
)a6
1~ s-
I c~c r w DOD O CL
Department of Enviroruncnt, 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' a""Design Flow (.1949): 360
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit 0
Type of Wastewater. 13SeN6ge ❑ Industrial pis ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
1
L
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
Land-cape
Pofton/
Slope %
Y-1?
c
O ly
Horizon
Depth
(IM)
G ~
.1941
Struchwal
Texture
~ S
.1941
Consistence
Mineralo
Y rC1 cry}rt (
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN,
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
5
Description Initial
S stem
Available space .1941
$ atefn 1
Site LT_AR
1
Repair System Other Factors (.1946):
Site Classification (.1948): 3
Evaluated By: d
C.CS N
prewnt
7