IPAC RHTE# 011-5-a~e-~~ Harnett County Department of Public Health 2 5 7 8 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_ C~,PnES~ Rp
ISSUED TO: 9et.GC-:NSti o N SUBDIVISION _ OC, no ELI rJ5 LOT # A-
NEWX REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFr'O 1''~SB
Proposed Wastewater System Type: Comer t~rrC~0 N FP+t-_
Projected Daily flow: GPD
Number of bedrooms:
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions: -
Five years
❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the iss cc
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
N5 Date: to I 1 -3 I09 SEE ATTACHED SITE SKETCH
of other permits. The permit holder i responsible for checking with appropriate governing bodies in meeting their requirements. This
Kznt 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 installat on 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: eLCC-is -'0 r, 16u tLoUS PROPERTY LOCATION: CV90-r-s5 QD
/ SUBDIVISION 0 G My N5 LOT # 1.
Facility Type: SAP C~1 xS 0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** Cc,N vE,v C 10 N P,L- (Initial) Wastewater Flow: X0 GPD
(See note below, if applicable
1--Ae,GE. Qvw~..r:S&<1, ~s p E (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size 15!) 1!2 O gallons Exact length of each trench GAO feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a s a;~ Soil Cover: inches
Maximum Trench Depth of: lg inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions: SdvL Oey-%,ATo 9s Jr-cL,i;7,e_n C36 'ACRD Pis-cxt- C)a.p,%wF.ELP O,cLfv, NAB ~a inches total
SEEN CaEp,c-50. 'VJNVSA- Ls-c Moss g No, 1~7"r~ SW~~G 5715~L-rn ,
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specill'wions of this permit
Owner/Legal Representativ ture: Date:
This Construction Authorization is subject to revocatto he site plat, or the intended use changes. The Construction Authorization shalt not be transferred when there is a change in ownership of the site. This
Construction Authorization iss a to compliance the p` o laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Number of Occupants: i~, max
May be required based on final location and elevations of facilities
Public ❑ Well Distance from well lO n feet
Permit valid for.
Authorized State Agent: - Date: i
ons ion Authorization Expiration Date: -
HTE# C1-5 ~330~~ Permit # a,S1*19 q
Harnett Connty Department of ll blie nealth
Site Sketch
D PROPERTY LOCATON: C-tiPa~G55 9-0
ISSUED TO: ` aLe CINs ce r uQUz-~5 SUBDIVISION C) G M U LL)" 5 LOT # -1
Authorized State Agent:
'yV
«a
uv 60' S
Date: I4, I n
1 '
1
1
10 -7
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(honer: Ap
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
plicant:
Date Evaluated: /
Design Flow (.1949):
Property Recorded:
[ Public ❑ Individual ❑
[3'Auger Boring ❑ Pit
1~1`, Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
►-1)J );)O°
Property Size:
Well ❑ Spring ❑ Other El cut ❑ Mixed
t
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
•1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
.1942
E
Position/
Depth
.1941
.1941
Soil
.1943
.1936
1944
Profile
#
Slope %
(In.)
Structure/
Consistence
Wetness/
Soil
Sapro
.
Row
Class
Texture
Mineraio
Color
Depth IN.
Class
Horiz
& LTAR
/ 1C,
c
/E
t
r
Description
Initial
S sr
Repair System
Other Factors (.1946):
Site Classificati
1948
Available Space (1945)
on
E
Sys-em TYPOS)
CG N
t.v
valuated By:
6
Site LTAR
4
Others Present:
A O 'l,
dw&++