IPACHTE# o-~ 5-aa-7'40 Harnett County Department of Public Health 2 5 6 8 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: `-I
ISSUED TO: Cutrevs~~o,~n~oc~Gs \NL SUBDIVISION n iq& aK NG» (Ser l LOT # 43
NEWN REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S RO k LA6'43.9 Proposed Wastewater System Type: UnnP-'Vo Q.EQ=-'1'J'4
Projected Daily Flow 3 G U GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required:es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community ;K Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ` ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the issu e
site is subject to revocation if the site plan, plat or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
S Date: COI 1 I M SEE ATTACHED SITE SKETCH
other permits. The permit holder isLresponsible for checking with appropriate governing bodies in meeting their requirements. This
1wi,t Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .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: Cune4( t.-ps.yg vto-6-s5N C- PROPERTY LOCATION: a~`J
SUBDIVISION 1') ,26. b(1+sNcM (46t 1 LOT # 43
Facility Type: Src9~4~`'435 L New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes -X No
Type of Wastewater System** QUr,%Q--cc, °la T2-FouGy\ot4 Sysc~t~ (Initial) Wastewater Flow: 3~0 GPD
(See note below, if applicable
Qu c^e`T e 3-5°l0 S-is~«1(Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size ►sJ<nq gallons
Pump Tank Size LO-0 gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench Co 5 feet
Trenches shali be installed on contour at a
Maximum Trench Depth of. 1-~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Conditions: WcktEn ~--~HL M,>-51N ~G l0 F
MA t rc~tla~s~ ON la i Sse t~ oc,-
Trench Spacing: Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
1LA'CTES
inches below pipe
inches above pipe
inches total
*If applicable: /understand the system type specified is different from the type specified on the application. / accept the speciflwionr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subf evocation if the site 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 is subject to
Authorized State Agent:
isions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
~~rs Date: " , 09
truction Authorization Expiration Date: A t l
HTE# Qc1 S"1-)14C) Permit #
Harnett Conjity I)epartment of M-tblic Health
Site lkiketch.
PROPERTY LOCATON: "C , `l W
ISSUED TO: Cci r»std SUBDIVISION 1'`1~p-G 9Q4 ,,4(.A CSe~' 1 LOT # 4~
Authorized State Agent: Date: t4~,ln
al
Sume-w a 00-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: W) ) l0°1
Proposed Facility: @to ` Design Flow (.1949):-:Uo
Location of Site: a6 Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater. Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Lioulaoape
Position/
Slope `A
Horizon
Depth
(In.)
.1941
Sbuchnw
Tee bxo
.1941
Consistence
Mineralogy
.1944
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
# LTAR
~I U"
N `1'L4~1~
a ~
.X
3
G L
vr--o lNq
V1 5 )"0
P~ 35
3d`"
P
a~~~o
scL
FL ss 150
~ ,3s
~k~
P m
Description
Initial
S st
Repair System
Other Factors (.1946):
Site Classification (
1948): p5
Available Space .1947
.
Evaluated B
:
system s
Puny w4ted4
go" s-wok
y
CT
Oth
P
t
Site LTAR
b5
ers
resea
: