IPACH T E # --G ~3a Harnett County Department of Public Health 2 5 7 9 2
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: 53, L- V'~-AC N ~t S3 ; t-~CxZ S SUBDIVISION 'd LOT # 33
NEW ) " REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -Q U", ~n6 b
Proposed Wastewater System Type: Cc h, 4 r\ \ o rJ P,~-
Projected Daily Flow: GPD
Number of bedrooms: `3> Number of Occupants: 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 Distance from well 1 OO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: ~ 3'J 10"1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu a of other permits. The permit holder is res sible 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, .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 TO: CS--~~4~~~~F ~~sd 0 ?y~~-c;(;x PROPERTY LOCATION: L :y7C,-, Q~
SUBDIVISION ?,U j-\ G~4 LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes N, No /-~Basement Fixtures? ❑ Yes ~ No
Type of Wastewater System*'s C-0 1 J vC~r 0 s.rt~,,L (Initial) Wastewater Flow: GPD
(See note below, if applicable
1)-5 20uc ►d IJ '115 -,L- r1 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1000 gallons Exact length of each trench 1,r,~ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. )i7t _ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions:
inches below pipe
inches above pipe
A inches total
**If applicable: / understand the system type specified is different from the type specified on the app&dtion. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to ocatr vt the'sqq 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 `mpliance h th r6lixts;gf the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 'g i ~ oof
-
construction Authorization Expiration Date: i~
HTE# C ~ r 5 Permit # a. Ls--7 ° ,
Harnett County I)epartment of Public Health
Site ketch
PROPERTY LOCATON: 1._.+~sK &2
ISSUED TO: SUBDIVISION ~r1ALN Gtly~ LOT # 3-:~_
Authorized State Agent: 6~S Lw Date:
~ o
W P
~C
r7 5j
1 -p ,pi
1 ~afl
~ z ~
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Wealth
Property ID:
On-Site Wastewater Section
Lot
File
SOIL/SITK EVALUATION
Code:
for ON-STIZ WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evahlated:
Proposed Facility: s ~wG Design Flow (.1949): 36 0
property Size:
Location of Site: Property Recorded;
Water Supply: `Public ❑ Individual
❑ Well
❑ Spring ❑ Other
Evahadon Method: Auger Boling ❑ Fit
Cut
Type of Wastewater. Sewage ❑ Industrial pr
ocess Mix
ed
P
R
O
F SOIL MORPHOLOGY
OTHER
1 .1940 .1941
Horizon
PROFILB FACTORS
E Pal
M slope % ~ s .1941 .1941
c
w
.1941
son
~ 1936
.1944 proft
4n
me
Texh" mhwato
webmw
Color
Re* chm
~ er1r &L
CLw Harts ♦ LTAB
► O-Q vin v~1
a7~ ~4 y Ps
/c.v Q C I C,
Vf2 ~5~`~°
Site Clawi$cation (.1948r
Cam, Ewlueted B)r LA Othae hexnt: