IPACHTE#Oq-S"~lZ Harnett County Department of Public Health 2 5 7 7 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Go-SXZ0 , ti\LLVo
ISSUED T0: S -Y, 1-bt-.s SUBDIVISION )ocLx - ->"IR.G IPt-c~., NP;xNowl LOT # 1_ 36`
NEW,X REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: syy X53: x46
Proposed Wastewater System Type: Co N v f---r% \0 r %>,L--
Projected Daily Flow: 3(- 0 GPD
Number of bedrooms: 3 Number of Occupants: rO max
Basement ❑Yes >4 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 00 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 1\1 ~_~5 Date: ss 13131.01 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan 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 Improveme t 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, .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: S-+-- ~c-c s PROPERTY LOCATION: C--AMt:n,~ a )iA t LL
SUBDIVISION 'Y6QY i ti~ c~,,, A~ ~o>J LOT # 13~_
Facility Type: S~c9 ~ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~k No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Co - v6-r--,\o N NL' (Initial) Wastewater Flow: 3C0 GPD
(See note below, if applicable
D.'e/D R~~s - a a► (1, (Repair)
Installation Requirements/Conditions Number of trenches I c,
Septic Tank Size 1000 gallons Exact length of each trench 1 feet Trench Spacing: ) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ro inches
Maximum Trench Depth of: ►-8 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions) o
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: a inches above pipe
Conditions: Way tt~ t~ My~ t ~Q ~g o,.. S r- s y3-s&r4s o s~ inches total
-c vqs Cpl -
uw >rGt~ O w \ N k-~'
**If applicable: / understand the system type specified /s different from the type speciped on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca' if to 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, `complian vlth o f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: I1
Cons ction Authorization Expiration Date:
NTE# Qua' Nq~ Permit # 9S`7~G
Harnett County Depal-tlnent of IMiblic Health
Site Sketch
PROPERTY LOCATON: ~
ISSUED T0: S+S~ SUBDIVISION `faares\~\cr~ P~.RN-c~c\0~ LOT
Authorized State Agent' p LL,, - -ioi- r5- Date:
X00
DSO
R EDV L'TtU N
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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 ,,N,.3[~Design Flow (.1949):`:3
Location of Site: ~ Property Recorded:
Water Supply: 11, uvlic ❑ Individual ❑ Well
Evaluation method: jAuger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Nfixed
P
R
O
F
1
940
OIL. MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
*
.
I.aafroapa
Po"onl
Slope %
Horizon
Depth
(b)
.1941
sbucalw
Texture
.1941
Cooaidenoo
Min ralo
.1941
soil
Wetaeal
Color
.1943
soil
.1956
S"M
Cim
.1944
Radr
Horiz
Profile
Clan
& LTAR
1 C-1 5le",
Dauziption
Wial
em
Repair system
Other Factors (.1946
site CIMAfication (.1948r 5
Available Spwy .1943
c d r
Evaluated By: c3!,
Type(s)
Others Ptesmt: -
Site LTAR