IPACHTE#CR-5-ro Harnett County Department of Public Health 2 5 7 5 8
Improvement Permit
A building permit cannot be issued with only an Improvement Perm t
PROPERTY LOCATION: N\JO-SFS2-y ~j
ISSUED TO: C"P.+V s I-P, c~tp Q GJ . SUBDIVISION ~ocLGs 0 pY S LOT # 1(~5
NEW X REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S TO CyS'":30
Proposed Wastewater System Ty e: U N ~ ~tyN p~ t
Projected Daily Flow. GPD
Number of bedrooms: 3 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 1 O d feet Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State Agent: Date: ~0 O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the Z'-ua h permits. The permit holde is res risible 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 Improvement 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: Cp,-4t~Fs~ I_-o.,,co ~-V PROPERTY LOCATION: _ 2G6rot
~CXNs iz3 SUBDIVISION \ dn.E3S d Rvs LOT # k
Facility Type: S ~ '`X New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C~Z "-JEr'rC, 0 r q ;,L... (Initial) Wastewater Flow: 340 GPD
(See note below, if applicable
C-o Nv E.r, , fit, (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size t 0 a O gallons Exact length of each trench "S"0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. ~11* - L inches
Maximum Trench Depth of: '"b~> " I'l 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
w\ Aggregate Depth: inches above pipe
(onditions: Mv~~ BE 10 ~oAr, S F-PI sc Sys , 0 !J IL-%'C,~ T3 inches total
M A ~N C Qr~ PsG~ O IN -VNAL 14--2.
**If applicable: / understand the system type specified is different from the type specified on the app/ication. /accept the rpe,&wionr of this permit.
Owner/Legal Representative Signature:
Date:
This Construction Authorization is subject to if the site Ian, plat, or the intended use changes. The Construction Authorization shall not be transferred when
Construction Authorization is sub t to compliance the p i e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Authorized State Agent: Date: eC
Cons ction Authorization Expiration Date: 1,0 <
is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
14
HTE# O~ -r51D;1)0`7o Permit It a.515~
ISSUED TO: ~--Av
Authorized State Agent:
Harnett County Department of Mtblic Heath
Site Sketch
PROPERTY LOCATON: ~Vt~sb-Z~l vlo
'~5 v SUBDIVISION J`o --7 OLOT # X65
E~S~pL~ v `Te x~AO Date: A01
S 0O i
t5E/,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: g g6oz Cllr, ~,vm, Design Flow (.1949):`5
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: 4 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
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
*
L.andtcape
POW60W
Slope %
Horizon
Depth
(In.)
.1941
Strucftw
Tudors
.1941
Consistence
Mineralogy
.1941
Soil
webmw
Color
.1943
soil
DW& 114.
.1956
Sapro
Clan
.1944
Restr
Horiz
Tome
Clete
LTAR
a l/v
a-~,~'
G s
~Fn ,qs
txscnpaon Initial Repair S-~ Other Factors (.1946):
System Site Classification (.1948r S
Ava"o, Space 1943) NJ I 'I Evaluated By: 0~
System ~j ~c N Others Present:
Site LTAR K k