IPACHTE#o9- 5~ga. Harnett County Department of Public Health 2 5 5 9 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: MN,2x5 Vs:)
ISSUED TO: K~tvr tCR» CuMM1N G5 SUBDIVISION 11~Fn~r 0~ LOT # o
NEW,' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sq'O
Proposed Wastewater System Type: ~.S Q-so vC~-, , 0W
Projected Daily flow: 34.(~) 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 )CD!;Z-- feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: e ~NS Date: S O , ~ O 1 0°~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the <e of other permits. The permit holder s respon ble 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 Imp ovement 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: ~~NN E Ct-1 Cu rlcntt4 PROPERTY LOCATION: M Pa-,,-.5 P-~
r \ SUBDIVISION N A yc
n~ LOT # _
Facility Type: 5Vti'{soJ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** a5°)o Rt_OuGS ton, Sy~Es~ (Initial) Wastewater flow: 3(-C)
(See note below, i( applicable
QvMP~a 3~31)o Vkx-pupVonl Sy3-retn(Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size s pod gallons Exact length of each trench 1$O feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. ~o inches
Maximum Trench Depth of. 18 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
~7d
GPD
Pump Requirements: It. TDH vs. GPM inches below pipe
A regate Depth: inches above pipe
Conditions: Wk-Ten. ~gt,-c VF- \C` F~.on. Spp-r G Sy s- f
s o -c,L,~,ES inches total
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
--u«l- n~ a p -JttLL m 'evuLauun ❑ me slue plan, prat, or me mtenaeo use changes. the tonstruction authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to complia a with the p ov' ons a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State 7-S77~j S ~~Date: e ~.o
Constru ' Authorization Expiration Date: 1, ~0 1
HTE# Chi - S ►'a, Permit # DJSS V ~
Harnett County Department of 11tiblic Health
SitE' Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION ~S~aFc~t.D LOT # 'ZO
Authorized State Agent. - a~i~s ~o~~v~2'Tot `G scx>t2~ Date: S O a0 O`y
qo
I l
I P v TC3 /
as%
~ 2EJJucC~d N
D
e
3C
v
G-
d
135'
~~KIaP~ Cr1 G'C
Dep utment of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIIJSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: l
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Piny Recorded:
Water Supply: LA l'~blic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ['-Auger Boring ❑ Pit 0 cut
Type of Wastewater: Q" Sewage ❑ Industrial Process ❑ laced
P
R
O
F
I
1940
SOIL MORPHOWOY
1941
OTHER
I
t a
H
i
.
PROFlLE FACTORS
-
pe
or
zon
1942
E
#
PolMonl
Slope %
Depth
00
.1941
Strums/
.1941
Coneistena
.
Soil
wetnesv
.1943
Soil
.1956
Sel"
.1944 Profit
Reatr Class
c~
Texture
Mineralogy
Color
Depth IIV,
Cim
Horiz do LTAR
to C
i/
0 Jan„
G c s
IG ~
5 g~c s~ ~ s~ ) ap
~ 5 ~
3~
G s U~',, ~S I
3 nm Site Classification (.1948): 23
_V ✓ _ Evaluated By: G -7 B n
` Others Present: