IPACHTE#Q~-Harnett County Department of Public Health 2 5 6 8 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
11 PROPERTY LOCATION: P~SGgty C>AvaCA-\ (Z-.D
ISSUED T0: ~c.cr•c.~~NR 4-~L-Ct,13S SUBDIVISION OocvNo, Qom LOT # a.
NEW'75~ REPAIR PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~ofl ,6
Proposed Wastewater System Type: C-c "wr ,j-N" " D-A-
Projected Daily Flow: 3~o GPD
Number of bedrooms:Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ' .No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 140 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: W-"s Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua of utlrpp,-,mit', . Thepermit hol er 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 rmit hall 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: PROPERTY LOCATION: 01\Jncx\ Q-O
SUBDIVISION Oo.-j n~ 9oe. LOT #
Facility Type: t4k) o (,:4 6~ ~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~N No Basement Fixtures? ❑ Yes XJ0
Type of Wastewater System" C-0 '4 '4 o N P% L- (Initial) Wastewater Flow: '3.0 GPD
(See note below, if applicable
C' ~v \a t4 cl1- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size \c(nCD gallons Exact length of each trench !SO feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1'4--A inches
Maximum Trench Depth of. ~k`34 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: u -QlE WF'abr, SEP~~ SySE3~ 1J o v Cl~ ~'C~ES MAY 11
inches total
["tCXW hc;-i,} 0.3 1^~ \d.y a~L Q LP P ACC QN LF -5 .
If applicable: l understand the system type specified /s different from the type specified on the application. l accept the specifications of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to reVOCati~n if the site4lan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a rhanoa in nwnarchin of tho dta Thi,
Construction Authorization is
Authorized State Agent:
to compliance vithe ons a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 9 30 0~
Cons ,ion Authorization Expiration Date: q 361U
HTE# O`1 S`1oG Permit # ~-5~-
flarnett County Department of 1't blic Health
Site Sketch
PROPERTY LOCATON: T'k • Q~ycnN ~ ~
ISSUED T0: P~r.R~rc~ae ~ESZNS SUBDIVISION OoNflr. B LOT #
Authorized State Agent Date: 30 G
I
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public ❑ Individual
Evaluation Method: ❑ Auger Boring ❑ Pit
Type of Wastewater: ❑ Sewage ❑ Industrial Pr
Sheet:
Property ID:
Lot
File
Code:
roperty Size:
❑ Well ❑ ❑ Spring ❑ Other
cut
ocess ❑ Mixed
P
R
O
F
I
L
1940
I
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
mulses
Position/
Slope %
Horizon
Depth
(I)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
wetness!
Cola
.1943
Soil
IN.
.1936
Sapro
Class
.1944
Raw
Horiz
Profile
Clan
et LTAR
1
~ ~0
43rJ
G zoo
s1
~
~Cr
s3y- --e-L
P5
L5
s;cl Y-S6L
e ss ~
~5
Description Irritid Repay System Other Factors (.1946):
3 1<
Available Site Classification (.1948): P 5
3 ce .1943 Evaluated By:,,,-,
System Dj*s) <_e;
Site LTAR Others Present: