IPACHTE# Harnett County Department of Public Health 2 5 7 6 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: V\ P~t2~c 5
ISSUED TO: Cu(om' EoA-PVID SUBDIVISION QS~sF=Oa~O LOT #
NEW REPAIR 0 EINSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~~rSJ ' LA 7,:3s
Proposed Wastewater System Type: Cocwr, C v6
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: - max
Basement ❑Yes X No
Pump Required: ❑Yes '(rq No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well ebb feet Permit valid for. 154ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Ate= ~E Date: Al ~-Sl b~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc f 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 Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1959. 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: C.U PROPERTY LOCATION: Q-D
SUBDIVISION LOT # S_
Facility Type: SFU~.S~4 x35 New ❑ Expansion ❑ Repair
Basement? ❑ Yes _-IR, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C r`t yc~d t 1?'L_ (Initial) Wastewater Flow: '~-C n GPD
(See note below, if applicable
C".. -JE..r~\0 N rat (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t (no ct gallons Exact length of each trench S C feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 9l`i inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions: VJyc<CO- L_sH vS-~- 'i~) G. ~0 q0M St-p to Sys-, ~r4l inches total
**If applicable: / understand the system type specified if different from the type specified on the application. / accept the .specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re if the 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 su ctikcompliance~!the io f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Trench Spacing: cl Feet on Center
Soil Cover. 1~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Authorized State Agent: Date: _
truction Authorization Expiration Date:
HTE# Permit #
Harnett County Department of lNiblic Health
Site sketch
PROPERTY LOCATON: M v.c -5 R~
ISSUED TO: L t~E rv SUBDIVISION ASHGFOtzO LOT # Sn
Authorized State Agent: '04ea -roLy-sooQ~ Date: 0~
(16'
a0~
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility,: 3 eC, - -q esign Flow (.1949): 3E6~~~
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evalnation Method: Auger Boring ❑ Pit ❑
Type of wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Properly Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
L
1940
I
SOIL MORPHOLOOY
.1941
OTHER
PROFILE FACTORS
E
#
t
NrAlMpe
Position/
Slops %
7-10
Horizon
Depth
(1n.)
.1941
Strum"
Texture
.1941
Consigns"
Mineralogy
.1942
Soil
WetneaW
Color
.1943
Soil
.1936
SM"
Close
.1944
Radr
Horiz
Prome
elm
s LTAR
C-~) 6U
'y-&-N C,\~1•
a-
6, 5
C z ~y~ tv(~
4• S
G
C S
l
v~-2~'s)
S ~
Los" = xepur aY Other Factors I W
AvaiLbla S ce .1943 3 1 Site Classifi Evhslartlet d~BB )
System a
She LTAR Others Present:
~ K cc~ ~r