IPACHTE# Cf1-~ Harnett County Department of Public Health 25751
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: AJsa.C
ISSUED TO: °cV,Es ~N C SUBDIVISION ICc. y,~s ~,-6 LOT #
NEW X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: L3°v x3~
Proposed Wastewater System Type: C.cav E,-,`z. n N f~ttL
Projected Daily Flow: 'ate O GPD
Number of bedrooms: Number of Occupants: G 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 10 CJ feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.. Q-Z-06 5 Date: tb oq SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ~OOf other permits. The permit holde 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 Imps nt 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: PROPERTY LOCATION: WsQ~
~SUBDIVISION Y.Ej4-" ~tuZr,g LOT #
Facility Type: 5 VU New ❑ Expansion ❑ Repair
Basement? ❑ Yes "M11 No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Co~~E~,~.n~.a,L
(See note below, if applicable
CdavET-Avo(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10CQ gallons Exact length of each trench ZO
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 35
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
(Initial) Wastewater Flow: ~Ci GPD
feet Trench Spacing: Feet on Center
Soil Cover. a3 inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: WACtn 1-~t..E t`~vsi CAE l0~ oM~.1p~~~L L~t~E ~o V cTL.'c165 L'~vy
C~tc~oo~~ ~sc~oz oa ~~QP~2PaCAS ~ALZ WtI'n VAN-)
C inches below pipe
inches above pipe
1 a inches total
>rl 1e uSKnr , ry-R atJ
*If applicable: /understand the ryftem type rpeci6ed if different from the type specified on the app/ication. /accept the specifications of thi permit.
Owner/Legal Representative Signature: Date:
~~t«< r rr pima pray, ur me intended use changes. the tonstruction aumonzanon snail not be transferred when there is a change in ownership of the site. This
Construction Authorization is s tt to complianceov ovisio of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~1~' V .fKE~s Date: e 1~
atruction Authorization Expiration Date: Lc.,
HTE # Cat - 3~-q 1b Permit # X5^1$
Harnett County Department of INiblic Health
Site ketch
PROPERTY LOCATON: Q r--
ISSUED T0:
SUBDIVISION LP,,, LOT #
Authorized State Agent: (P c.wfri 'CoL ot~l5 Date: ~01a
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: A
Proposed Y
Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: [Public ❑ Individual ❑ Well ❑ ❑ Spring ❑ Other
Evaluation Method: (a Auger Boring ❑ Pit cut
Type of Wastewater. [Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOUL MORPHOLOGY
I
OTHER
.1940 .1941 PROFILE FACTORS
L LmWscape Horizon
.1942
E Position/ Depth .1941 .1941 Soil
# Slope 00 Struch" Consistence webmmw
.1943 .1956
.1944 Profile
Texture Mineralogy Color
Soil SWO
IN. Clan
ReW Clan
Horiz & LTAR
-2'` 5Vfl C l ~l c yk plk 2q
d -l y c-
/j
1-72 szl k-
Aiflif
-771~,~
G
S Ar) vfk N451-4e
~b' ~ aL 5GL F'1 51-f
Ps,S
5 164 tv51 %`e
Description Initial Repair System Other Factors (.1946):
S a< Site Classification (.1948).
Available cc ,194!
S a „r Car. Evaluated By:Cr-,
Site LTAR . -C, Others Present: g o,