IPACHTE# oa-s-aa~as Harnett County Department of Public Health 2 5 6 7 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NC a"l W
ISSUED TO: \-kOMZ5 \"c- SUBDIVISION _M~2E. LOT # `C
NEWX REPAIR ❑ -EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S FV (~`i 14SID
Proposed Wastewater System Type: a5'le 2~,oucs+tlN 5y3 sT
Projected Daily flow: 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well MO feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: QS Date: 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees issuance 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 T0: CumaFt2t~P~y ~1ocnEs Arc PROPERTY LOCATION: ~1G2`1r1
/ l SUBDIVISION 1`~\Q-L LOT # 64
Facility Type: Sip `~61'~S New ❑ Expansion D Repair
Basement? ❑ Yes XI No Basement Fixtures? ❑ Yes No
Type of Wastewater System** auG:rAow Sy ~t (Initial) Wastewater Flow: GPD
(See note below, if applicable
Q\J T. R 'Ym as-4 P-Ca .Sys Etn (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size t boa gallons Exact length of each trench .a0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Ginches
Maximum Trench Depth of. R 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: inches above pipe
Conditions: ~AU~ L~N~ t`1 r5-1 6E M'oFF SQN"%C 5v11C611\ Na U-cfu,st a hn E"<"AC IJ inches total
O"2 AN +~~t>rL oa eta+a. ~ 'o.>
**If applicable: / onderrtand the ryrtem type specified it di/ferent from the type specified o17 the app/ication. / accept the rpeci6catianj of this permit.
Owner/Legal Representative Signature: Date: site. This
permit there is a change
SEE ownership ATTACHED eSITE SKETCH
construction Authorization is subject to com rovwo" of ~the u Laws e and eRules for Sewage Treatment and ~Disposal o and uto the snail trot his transferred
Authorized State Agent: Date: 9 O°I
Construction Authorization Expiration Date: *1 I~
HTE# Qc 1 `5 -2~.Z05 Permit # 1156-1 L}
Harnett County Department of M blic Health
Site Sketch
PROPERTY LOCATON: "C.`11
ISSUED T0: SUBDIVISION t" l,a J6QkwCa LOT # _
Authorized State Agent s\\~ EIS ~oL1y~t ~oL~oC~\ Date:
l
~ 1) MF' 'S O a~ 6Z,
\ 9-EUU`516~J
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: `1) v-7 a -l
Proposed Facility: 3 of :.DVors Design Flow (.1949):,2, jw Location of Site: Property Recorded:
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Water Supply: Public ❑ individual ❑ Well ❑ Spring
Evaluation Method: agar Boring ❑ Pit ❑ Cut
Type of Wastewater: -USewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
LwWauq a
Position/
Slope 6A
Horizon
Depth
(In.)
.1941
sbucmw
Texture
.1941
consistence
Minwalo
.1944
Soil
webmw
Color
.1943
sod
IN.
Depth
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
1
t.►S
_
~ 56
iK 3(j-
*:?2, 55)N?
to-)C), -)1a
O-C
G .5 1-
V
-11,
5
Description
Initial
Repair System
Other Factory (.1946):
S
1948): Q3
Site Classification (
Available Space .1945
.
Evaluated B
d:..
7
y:
system a
E N
Po n p rv1
Oth
P
t
Site LTAR
~
ers
resen
: