IPACHTE# c(~A -s-az vsa. Harnett County Department of Public Health 2 5 7 6 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: GwF~s7nLYer \4q
ISSUED TO: ! Co.n~c4yL-~ya,J SUBDIVISION _ 8c~.1 , can ~,)oe LOT #
NEW, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5~9 L"- 111~
Proposed Wastewater System Type: 9,_puCZK'k(JN 5-/t;VE,,,
Projected Daily Flow: 3 Q Q GPD
Number of bedrooms: 3 Number of Occupants: C~ max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1-(5o feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees suance
site is subject to revocation if the site plan, plat, or the intended use changes. The r
the Laws and Rules for Sewage Treatment and Deposal and to conditions of this permit..
Date: N'i Sl C9 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 T0: Cpoy C \,c) rj PROPERTY LOCATION: wC-tsnn
SUBDIVISION \Joow LOT #
Facility Type: C= S> QS- K,~~ { '3< New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System' "a.S °1 6 R Gov or,/ S (Initial) Wastewater Flow: 3C,O GPD
(See note below, if applicable
a,S~lo R?,AVCStdN `~~S[.tv~
(Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1 C) in gallons Exact length of each trench 150 feet Trench Spacing: c1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: -fo--- inches
Maximum Trench Depth of, 18 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM 8 inches below pipe
Aggregate Depth: inches above pipe
Conditions: Wk-rsq- L,N` cam„3 ~E1O'1FctxMn 5Ep;\G -IEM H 5 pFnM~ inches total
~QsrrD G iLl o5t~1- Svp~,
*If applicable: /understand the system type specified is different from the type specified on the app/icatioa. / accept the rpec1f1w1onr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca ion if the site , 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 subje to compliance wi e p s taws and Rules for Sewage Treatment and Disposal and to the conditians of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: N"--Z Date: 1
ruction Authorization Expiration Date:
HTE# 15a. Permit # ':~,5--I
Harnett ("ountyDepailinent of Piblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: C- h+s C v G sv SUBDIVISION w t.a_c a p woos LOT #
Authorized State Agent - a~~vFCL"Eo~-KScj Date:\~j) be
-I /
ZAa
aLl)~"
ta,\ /
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 j1~0
Proposed Facility: 3 gt0qkiaa Design Flow (.1949): '360
Location of Site: Party Recorded:
Water Supply: 'S~lic ❑ Individual ❑ Well
Evaluation Method: ❑ Auger Boring o pit
❑
Type of Wastewater: 'fg,,Sewagc ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
P
1
L
1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
*
I mxhcs
Position/
Sk" %
c
Homan
DqA
(In)
.1941
Shuchow
Tee k"
.1941
Comi/tence
Mimrab
.1941
Soil
waftm /
Color
.1943
Soil
IIV.
.1936
Sal"
Clan
.1944
Reatr
Hatis
Promo
Clap
& LTAR
o -1~
C
v~~ N51 ~
36
C,
J~ ~s~ q,
a- t-16
F(2
Other Factors (.1946
Site Classification (.1949Y 5
Evaluated By: p-T
Others Present:
xlSO
CLEPP,wt d Y P 4UP ~~L _
Diu. ~l~JM C n „ !'b ABU;.A~ 3,