IPACHTE# c-~~3os.~
Harnett County
Department of Public Health
2 5 7 5 3
Imp
rovement Permit
A building permit cann
ot be issued with only an Improvement Permit
ISSUED TO: y_1ZZC4-1t14 Ga-
PROPERTY LOCATION: ilyd2a VZtA p
SUBDIVISION t c~Y9 Y o Erg
LOT # 1
NEWX REPAIR ❑ EXPANSION]
1X
E (
4
M
Site Improvements required prior to Construction Authorization Issuance:
or,
P-
.
Type of Structure:
i
Proposed Wastewater System Type: C
o rr -..r G, tv'5 N n r,t o.l
Projected Daily Flow: 3<o G
GPD
Number of bedrooms: 3
Number of Occupants: ~O
max
No
Basement ❑Yes '
Pump Required: ❑Yes XNo
%
❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
❑ Public X Well Distance from well S Ob feet Permit valid for..
rve years
Permit conditions:
C-," °Tt-G
D No expiration
Authorized State Agent: Comas Date: f,o a7 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuai other permits. The permit holder is resp nsible 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 Improvem ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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, ]955, .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: I?Pil5'I \olc=q v PROPERTY LOCATION: V~yQO ~dNO
SUBDIVISION F'L-mro V,0&rtvfsL LOT # A-
Facility Type: M P+t.r r10 rnE C~3o ~Ja New ❑ Exnansion F-1 Renair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** CIO --J G,4dc-A NZ, (Initial) Wastewater Flow: 310 GPD
(See note below, if applicable
Go N ~ E.N-C \ y " P.L. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size l.ooo gallons Exact length of each trench 4Ro feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover S a inches
Maximum Trench Depth of: 01L~ 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: W NTEcl - wE M 05- P-C \6 Sao rte. S Er;,c,c. SyS~ _ inches total
**If applicable: l nnderftand the fyftem type fpeci6ed if different from the type .rpecifled on the application. l accept the fpeciTcationf of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject tc ion ' e site plat, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is scompliance w he onti laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: So
J'A
Con ction Authorization Expiration Date: _
NTE# Cf1-5-23056 Permit # x.5153
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON: 8van ?0 NZ
ISSUED T0: ASS Ln SUBDIVISION ~urvp kosrL,.,Ee LOT # 1
Authorized State Agent: Q'Ja5 (oL'v ~ -S OL_y-:5 ~ Date: 13110 °I
S-), Qo AZ fz-n
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address:
Proposed Facility:
Location of Site:
Water supply:
Evaluation Method:
Type of Wastewater.
Date Evaluated:
Design Flow (.1949):
Property Recorded: 10
P111)1lC ❑ Individual
Auger Boring ❑ Pit
Q Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Well ❑ Spring
❑ cut
❑ Mixed
❑ other
p
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
I.awm"
Position/
Slope %
Horizon
Depth
(In.)
.1941
SbVAM"
Tee k"
.1941
Coneisteme
Mimralo
.1941
Soil
webmw
Color
.1943
son
Deg& 0.1
.1936
swo,
Clan
.1944
Roo
Honz
Prottle
Clan
& LTAR
5
0o-41
73~
~~t s~ ~oP
5. ~
~
!-}cl-~Y
sGL..
P5
Description
lrotisl
S stm
Repair System
Other Factors (.1946
1948
Site Classification (
Tf
A
vailable S oe .1943
.
Evaluated
B
: 0~
a
Sylum
cpt l
ca u
y
Oth
P
t
Site LTAR
resen
ers
: