IPACHTE# O"1-5~3o6a, Harnett County Department of Public Health 2 5 7 5 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
S PROPERTY LOCATION: ',,J t,,t_ L vc~,s Q.xj
ISSUED TO: o~N t.i~+v ,'V L SUBDIVISION C PQA L_ yNP. Q,(_ LOT # 4"0
NEW)< REPAIR ❑ fNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~oC53~"SS
Proposed Wastewater System T pe: C.o E
e v ar N . o N #4-
Projected Daily Flow: ,O GPD
Number of bedrooms: 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 °X Public ❑ Well Distance from well VOb feet Permit valid for X Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Q-G-NA5 Date: I I ~ z SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issman ther permits. The permit holde is re ponsible 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 lmproveme rmit 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, .1
,
952, .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 T0: G • S ~-O'^~ 600 N
~N G PROPERTY LOCATION: \1J I L ` L U C, D.~ S .9
Facility Type:
SUBDIVISION C9N." L r~J P d a..f.5 LOT # 40
N
❑ E
i
❑
ew
xpans
on
Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~K No
Type of Wastewater System" C.o NV
6-r-4 S \ 0 " A L (Initial) Wastewater Flow: 4N -0 GPD
(See note below, if applicable
C.o r. ~
~..r-\ , o N P" L_ (Repair)
Installation Requirements/Conditions
Number of trenches LA
Septic Tank Size gallons
Exact length of each trench feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a Soil (over: inches
Maximum Trench Depth of. 94 =3~- 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
Conditions: W L%" L nvs r
Aggregate Depth: _l. inches above pipe
~ ,L
(i~ E ~0
N
Sys'- E
,
~ M
.
a 1 (4., inches total
V i s ~s r l a Y t s`+cA 4 p ph U N iN QEp p.~ 2 VN
**If applicable: / understand the r1wem type specified if different from the type specified on the app/ication. / accept the ,rpeci6catioar of thl~permit.
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to revoca the sire plan, lat, 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 &111o compliance w the t s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: t% l --k.
Construcuthorization Expiration Date: * t, t 11 -all
HTE# d 3 0 6 Permit # -7 5 5
Harnett County Dep-allinent of Public nealtll
Site Sketclh
PROPERTY LO(ATON: ~ %L-L- I--UC,;"s R9
ISSUED T0: SUBDIVISION 6AQ4t, NA OAyb LOT # L4,d
Authorized State Agent: ~~SCQ~~vE2 I C)-Yz Date: 111 X10 t)
101
Q G
~ C
r
G
It
i
s3 mss ,
J, 13
R
lfi
Na ,0
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: 1
Proposed Facility: y pu ac~r vR,O)esign Flow (.1949): 4-?d xd
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Waftwater.'Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mined
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
*
Lotiape
Position/
Slope %
Horizon
Depth
(110
.1941
sbuchsrel
Talkwe
.1941
Coosistamm
Mineralogy
.1941
Soil
webmw
Cola
.1943
Soil
.1936
Sol"
CWe
.1944
Rao
Honz
Profile
Class
# LTAR
tr ~v/a
d i155~
G
its (
g
r
Description
fortiori
s st
Repeir SYx6ta
Other Factors (.1946
Site Classification (
1948y -
5
Available s ce 1945)
;7
V
.
!
E
l
t
d B
K
stem Tme(s)
/
CA~,` pj
va
ua
e
y: Q
rel
Oth
Site LTAR
ers
ent:
w