IPACHTE# o°►-s ~-5 Harnett County Department of Public Health 2 5 6 6 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:cvL>r
ISSUED TO: w~rso~i' M -~wP,i. SUBDIVISION LOT #
NEW >K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MAN . ~pm~ 3a,',`~
Proposed Wastewater System T pe: C-ct vN o r r P, L
Projected Daily Flow: 3~~ GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ANo
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well S feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: w ~ _ Date: _ 21 c j SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ti uance of other permits. The permit hoidIr is resdonsible 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: o~ • ~~t 03 PROPERTY LOCATION: 1QV
SUBDIVISION
Facility Type: OAK MME New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" C-1~ ~r ve~o-q -1~ yn" e« (Initial) Wastewater Flow:
(See note below, if applicable
C -0 'rv~- -r~ wry Asti (Repair)
Installation Requirements/Conditions Number of trenches 3
LOT #
GPD
Septic Tank Size V nco0 gallons Exact length of each trench _~?iOfeet Trench Spacing: I Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Co inches
Maximum Trench Depth of: V`36 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: a inches above pipe
Conditions: W 1P," FExL I---, -c r1 o5s-~ e<-- ~ 4 inches total
~vizr .No Vs,>_,T\ES S"1A~I E..,cctow.e 0N'C\~,~ ~N\~\o.L 09- ~EPty.\6L ^~t~S
* If applicable: / onderrtand the .ryrtem type rpecifled it different from the type .rpecifled on the application. / accept the rpecifIcationr of this permit
Owner/Legal Representative Signature: Date:
ItatuO -u- U mujru w ievucauuu n me site plan, plat, or me intenaea use cnanges. me Construction Authorization shall not be transferred when there is a change in ownership of the site. This
(onstruction Authorization is subcomplian with ` uof the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ' it 6`
struction Authorization Expiration Date: °ti ~-v 1'~
HTE# O`1 -S ~--1$,~ Permit # )5>d~ -7
Harnett County Wpartnlent of .M-iblic Health
Sitv, Sketch.
PROPERTY LOCATON:
ISSUED T0: Cowcat~S SUBDIVISION LOT #
Authorized State Agent. ~aS uv
Ea_
%0L-lK-5 Date: g 1 ~~1~y
0
m
t
i'°\vE)Lz k9
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUA'T'ION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner Applicant:
Address: Date Evaluated: 1 ~o
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Boring ❑ Pit ❑ Cut
Type of Wastewater: Q"Sewage ❑ Industrial Process ❑ Nfixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Steps
Horizon
Depth
(In.)
.1941
Shuotiua/
TOXNM
.1941
Consistance
Mineralogy
.1942
Sal
wetneas/
Color
.1943
soil
Depth (IN.)
.1936
Sapro
Cim
.1944
Reap
Horiz
Profile
Ciaaa
4 LTAR
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y
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of
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Description
Initial
S
Repair system
Other Factors (.1946).
Site Classification (
1948): Q 5
Available Space .1943
.
Evaluated B
:
R
System
r
r-U-j
y
crr )
cn
Oth
P
t
Site LTAR
ers
resen
: