IPACHTE#O'-':)-r5-a3311
Harnett County Department of Public Health 2 5 8 5 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: P6 tvo-L-4M$ ,
ISSUED TO: ~vMS3EQ,LP~+O ~oMC3 ~N SUBDIVISION CaccoL~rra~ Ss.Q,sa,4s LOT# 101
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `'C'0 LS3 _f~Ll
Proposed Wastewater System Type: aS°/a ~~py~iStoN SysTEM
Projected Daily Flow: '3~0 GPD
Number of bedrooms: 3 Number of Occupants: - max
Basement ❑Yes 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 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: 1 S0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i e of 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, J951, .195& 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 vrn3~st 1_>?,r , c~ \A0(-k_5 )IN L PROPERTY LOCATION: pa N oElzos A
SUBDIVISION Crttayvtvo. SF-ato4 s LOT #A 0
Facility Type: ~~fl~53 >cst1~I New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System" a5°l o R-,-,ou C r to , S y~Tf=cn (Initial) Wastewater Flow: ~ GPD
(See note below, if applicable
Pq M~_to
3S6/a~ctda 5~st~t+ti (Repair)
Installation Requirements/Conditions
Number of trenches i
Septic Tank Size tcnbo gallons
Exact length of each trench D00
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: a.L~
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
feet Trench Spacing: 9 Feet on Center
Soil Cover: la inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth: -k 60) Conditions: W~ C--'NE- 0.."T e> L l0, 1 rn ~~fc_ 9Yg
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ication. /accept the specifications of this permit.
Owner/Legal Representative i ure: Date:
This Construction Authorization is subject to revocatio a site rla~ lat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authonzatio a lt~ compliance the ov of ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 18 vo
Cons _on Authorization Expiration Date: v $ 1,5-
HTE# Permit # 2L5%5 4
Harnett County Department of Public Health
'Site Siketch
PROPERTY LOCATON: po MC)EQ-05p, ~'D
ISSUED T0: Cu m~. Nfl ~ocrEs l~+G SUBDIVISION CAC~~ NA S6PSogS LOT # 10
Authorized State Agent -~a S Co o vim, To~KS Date: 1 d
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Department of Environment, Health and NaftuW Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: /,~J u C °
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: [Public ❑ Individual ❑ Well
Evaluation Method: (Auger Boring ❑ Pit ❑
Type of Wastewater: EJ-Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Teadura
.1941
Consistence
Minenl
og
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Clan
.1944
Restr
Horiz
Profile
Chas
& LTAR
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35-~'
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Description
Initial
S st
Repair System
1/
Other Factors (.1946):
Site Classification (
1948
p5
Available Space .1945
-
7
.
E
l
t
d B
1 1"
~
System a
r
e
va
ua
e
y:O
-
Oth
P
Site LTAR
, b
,S
ers
resent: