IPACHTE# o`~i --s-a3`I"i~ Harnett County Department of Public Health
Improvement Permit
25774
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: CCINII~,LL_ ,1-1~6~cLr' CPs~~.G SUBDIVISION LOT #
NEW' REPAIR ❑ EXPANSIO#l ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Mays .)ILcx,E(L) I x~g
Proposed Wastewater System Type: Co r14 C-_ TX~ No N N. _
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: ~3 max
Basement ❑Yes X No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Well D$nce from well MO feet Permit valid for. Five years
Permit conditions: _ ~"'S' cn ❑ o expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the ce
site is subject to revocation if the site plan, plat or the intended use changes. The Imp
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: yN \ 11 \ O`1 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
cement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules 1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met, Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 0V,L-i i ~Frt$~5 ~nS2~E PROPERTY LOCATION: sttMAti Gcuyvi=
SUBDIVISION LOT #
Facility Type: ~",4 Wt~) New El Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 1!!~ No
Type of Wastewater System" Co Nrr~-_ x,~Q N X"_ (Initial) Wastewater Flow: 3~0 GPD
(See note below, if applicable
C. rc=^'-~ P"t (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size do O U gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 1a-- l inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
~o inches below pipe
inches above pipe
1 inches total
*If applicable: / undeatand the system type specified is diNerent from the type specified on the app/ication. / accept the speci6wiofls of this permit
Owner/Legal R esentative Signature: Date:
This Construction Authorization is su ' 'PZZ"' 'on 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 i compla ov@ of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: X Qz_~ys Date: it 1-1
Con ction Authorization Expiration Date:
HTE# Ocl -.5-~3 Permit # asp y
Harnett County Department of l_ blic Health
Site ketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent: aL~S ou~csi ,owsoc, Date:
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Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
JI ICet.
Property ID:
Lot
File
Code:
Owner:
Applicant:
Address:
Proposed Facility: 3 e C-Daoc" hov~S
x~
Design Flow(. 1949):
Location of Site:
Water Supply:
[ J Public
[ j Individual XWeli
Evaluation Method:
Auger Boring
[ ] Pit
Type of Wastewater:
"cX Sewage
[ I Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring [ j Other
[ ] Cut
[ j Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTO
S
L
E
#
i
.1940
Landscape
Position/
Slope%
Z'
Horizon
Depth
(IN.)
11-0
.1941
Structure/
Texture
G\ LL-
.1941
Consistence
Mineralogy
.1944 .
Sol
Wetneser
Color
.1943
Soli
Depth (IN.)
.1958
Sopm
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
S
t
o- V.&
S
v~'2 N
II, >r, 3y
G S
vpc-n , , s I
P
'f.
~t-L)t-I
,L SGL
F 2 S5 S
or
l_
1\-3i
G S
_'"Yy
Sg~sct
~n 5s~g~
~6
~ cr
ID-46
G s
v~2 ~„5
5
C)zn
-j 5
-5
Description
Initial S stem
Repair System
Available Space (.1945)
System Type(s)
GOO
Site LTAR
Other Factors (.1946):
Site Classification (.1948): S
Evaluated By: dT
Others Present: ,