IPACHTE# C7`1--a33~.~ Harnett County Department of Public Health 2 5 8 5 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: CPROPERTY LOCATION: Po oE Lss p.
\)LOc~C~s ~sr SUBDIVISION C--Llrt A Sip ~oNS LOT # id O
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: as°/- Q tzovc~ , 3 a Sys ~M
Proposed Wastewater System Type:
Projected Daily Flow: 1O GPD
Number of bedrooms: L-)i Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ~K May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10 C) feet Permit valid for. Five years
Permit conditions: =1 ❑ No expiration
Authorized State Agent:: -~~~1 ~ S
The issuance of this permit by the Health Department in no way guarantees the issua
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.
Date: "8 1 e, _ SEE ATTACHED SITE SKETCH
permits. The permit holder is res tumble for checking with appropriate governing bodies in meeting their requirements. This
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: GurnaErLLArs0 ~0 m s 1rvG PROPERTY LOCATION: PoNOESZOSD,
SUBDIVISION CPoAL.,~~. S,sot~s LOT # 1001
Facility Type: 5~ C~ xt'fa New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" a 5°~e R[-pyG~C ~a N S,~ s-~
(Initial) Wastewater Flow: Li~0 GPD
(See note below, if applicable
2-S"lo ~EouGSsdt\1 S7'5-TF-tn (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size i o 0 o gallons Exact length of each trench Q0 74 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-l$- a4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: feet on Center
Soil Cover: 6-17. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: _"r] ASCU L•-1r G ~NUS pP \0 V-"m SG~ t L SyS-rE P41 Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the ryftem type specified it different (ram the type specih"ed an the application. l accept the .rpecifcationa of this permit.
Owner/Legal Representative Signature: Date:
Thi. a,,,
F-4 pmy ul we III lC11UCU use oranges. loe construaion numortzanon span not he transferred when there is a change in ownership of the site. This
Construction buthorization is to compliance w~tp t~ on the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
a-
Authorized State Agent: o-.ENs Date: 1 12 6
Cons ion Authorization Expiration Date: s T
Permit # "`5$ 53
NTE#
Harnett (vountyr Department Of PtIblic nealt~l
site sketch
PROPERTY LOCATON: P6 ~OFstD S 5 LOT # 100
M D o _s IN SUBDIVISION C
\~L
ISSUED TO:
QE,aS(gL\YGLDate: ZQ
Authorized State Agent
n-
RE.fl v c.s a ,a
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40
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154
Po N fl~os~ T~ 11_._
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: I Z !
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: EIPublic ❑ Individual ❑ Well
Evaluation Method: J Auger Boring ❑ Pit ❑
Type of Wastewater: (I 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 `,L
Horizon
Depth
(I0.)
.1941
Structure/
TeXure
.1941
Consistence
Mineralogy
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
`~G
c-av
C/- f
Ci-
18-3c
-ok lfc
IrI '
S - yl
.,76
v' ) U~
~l
o-Yo
.73
C, .5
vas, l
r1
~3 K s~L
ri::~2 s
45
3a,`R
C. L-5,
P-4 NR
~O
6 ADM
C 5
V Fq,, N~ lNQ
ao~~~
5$aC 5 Lt
RL g
? S, S
Description
Initial
S st
Repair System
Other Factors (.1946):
Site Classification (
1948
.0
Available Space .1943
.
/
E
l
t
d B
System Type(s)
5
6 r)
va
ua
e
y: ~
O
h
P
`
Site LTAR
!v
t
ers
resent: