IPACHTE# of,-~ Harnett County Department of Public Health 2 5 7 6 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~Jte-9-
ISSUED TO: ~ B auY r.s7C SUBDIVISION ~{ct tt AN ~PCtlr•~ LOT # a2i,
NEW-X REPAIR El ~XPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
5~0 ~6'"
Proposed Wastewater
System Type: C,o, r~~ ct~rsN f~C
Projected Daily Flow:
3C O GPD
Number of bedrooms:
3 Number of Occupants: max
Basement ❑Yes
~o
Pump Required: ❑Yes ❑ No 'KMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well TOQ feet
Permit conditions:
Permit valid for Five years
❑ No expiration
Authorized State Agent.: R E~5 Date: \`oq SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss a of other permits. The permit holder 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 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 Bgilding 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 T0: Q'o-'- C
Facility Type: SC=ta ~69 ~cc~ New
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System' Lo .'t'rCL0N~
(See note below if applicable
PROPERTY LOCATION: \A ~mG Q~o
SUBDIVISION 'C-, 01 .r~N CAS LOT #
DQ-
0 Expansion ❑ Repair
No
L "'4 G., %CS"A.1-- (Repair)
Installation Requirements/Conditions Number of trenches a:
Septic Tank Size t~ gallons Exact length of each trench 15 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a2J inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
(Initial) Wastewater Flow: GPD
Trench Spacing: Feet on (enter
Soil (over: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: A PA- eg 1-ar 1L V' ~ P, G A0" t-+2.' "Z~ I C- " Aggregate Depth:
inches below pipe
a inches above pipe
inches total
**If applicable: / understand the system type specired is different from the type specified on the app/inw n. / accept the rpeci6cationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, 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 subject to complianca~with t e sio of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~~5 Date: I) o°I
Con ction Authorization Expiration Date: "
HTE# Permit # 2kS-6S
HaI'nett County Depa linent of Public Health
Site Sketch
PROPERTY LOCATON: l2G Cl-9
ISSUED TO: SUBDIVISION LOT # as
Authorized State Agent: t--"" (()Uw,-L-N0Ly-sc,S9 Date: I An
lLi("
110
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owftr.
Address: Applicant: Date Evaluated: d: I c 1 2- f T ' / t N , 1 ~ 1~ ~
Proposed Facility: 3 acc~ Design Flo, (.1949(): 360 Property Size:
Location of Site: Property Recorded:
Water Supply: "Public ❑ Individual ❑ Well
Evaluation Method: 0- Auger Boring El Pit ❑ cut ❑ Spring ❑ Other
Type of Wastewater: [Sewage ❑ Industrial Process ❑ N,red
P
R
O
F
I
L
1940
I
a
~
H
SOIL MO
.
RPHOLOGY
1941
OTHER
PROFILE FACTORS
E
#
.
s
cape
Position/
Slope %
/
CJ o~ '
orizon
Depth
(1n.)
G ' (/5
.1941
struch a/
TeMsm
(4
.1941
Consistence
Mimalo
.1942
Soil
wetness/
Color
.1943
Soil
_DeRt
IN.
.1956
Sapro
CIM
.1941
Raw
Hartz
Profile
Clan
LT Alt
~
a
0 3~
~ 5
j.S) kj
S(L
Fri r, 5)
PS. ~
3
Q-6
6 S
VF2rv6~
~1P
VFR. n15
Det ri 'on system Other Factors (.1946):
Available s ce .1jEF Site Classification (.1948):
S seem a Evaluated BY;O Site LTAR Others Present