IPACHTE# 09-5-a~93 Harnett County Department of Public Health 2 5 7 9 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: PoND~azose, (Lp
ISSUED TO: SUBDIVISION ~.PepL~,•io~ S~:ps4 r~ 5 LOT # 92
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5q0
X34, x3°1'
Proposed Wastewater System Type:
vr~,P oS Carrvr~e~i>>dtvp~z_
Projected Daily Flow: 3~0 GPD
Number of bedrooms: Number of Occupants: G max
Basement ❑Yes ~ No
Pump Required:'14Yes ❑ 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/"al 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther 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 Improvemen it shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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, .19
52, .1954, .1955, .1956, .1951, .1958, and .1959 are incorporated by references in
to this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: C-0 r~c~Ert.1-p,.~y o~••r,
~5 ~cy L PROPERTY LOCATION: PO N'Z
ta p.ip. Q,p
SF V (3B
SUBDIVISION Co~IO~Itv~.
S O+aS LOT # "'►a
Facility Type:
X, New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement
Fixtures? ❑ Yes A No
Type of Wastewater System" C
5 Co'0"NJ.
(Initial) Wastewater flow: 3(60 GPD
(See note below, if applicable
Pu Mp -So C0 "-6,.r(t0 rJ t L- (Repair)
Installation Requirements/Conditions
Number of trenches 4
Septic Tank Size t oo en gallons
Exact length of each trench -10 feet
Trench Spacing: 9 Feet on Center
Pump Tank Size t_ooe'~ gallons
Trenches shall be installed on contour at a
Soil (over: inches
Maximum Trench Depth of. 1$ inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs.
GPM
C.- inches below pipe
Conditions: W o varl LINE V\vs-s 9F-
Aggregate Depth: a inches above pipe
),C; y4or-% p, Ny pew d'` SeevI c. Sys E, 1~_ inches total
**If applicable: /under rand the system type specified is different from the type specilled on the app/ication. /accept the spec/Ications of this permit.
Owner/Legal Representative Signature: Date:
This (-tr,rtmn Lth-mti- i. -hi- m .-.,.i- f d...;.,..]-.. _i_. a.:_.._-
r° • - - - --6- - w..,uuuwn numuncauun man not oe transterreo when there is a change in ownership of the site. This
Construction Authorization is xt(ec.eomphanc r of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RLus Date: t
uction Authorization Expiration Date:
HTE# CY~t- 5 -a33"13 Permit # aS' ~
Harnett County Department of 11"ablic Health
Site Sketch
PROPERTY LOLATON: 90Noenosr,
ISSUED T0: ~.v,Y, tiva ~-1or, s NHL SUBDIVISION CAeo~~ N a~ SEP,,,~5 LOT #
Authorized State Agent: Q~b ((fl L14[( 10LVSpQt,6~F7 Date: ~1 %bO
N~5
P6N0EA24SP, 111A, L.
Department of EmA ironrnent, Health and Natural Resources
Division of Environn ental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: 3 eeDiworq Design Flow (.1949):3[,o
Location of Site: Property Recorded:
Water Supply. M ❑ Individual ❑ Well
Evaluation Method: Boring ❑ Pit ❑
Type of Wastewater. Sewage ❑ Industrial Process ❑
Shed:
Property ID:
Lot
File
Code:
Property Size:
❑ Spnng ❑ Other
cut
Nfuced
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
I. n&cape
Poa boa/
Slope %
Haim
De1A6
(m•)
.1941
Sbuch"
Texkwe
.1941
Conirtma
Mineralo
.1941
Soil
WetneW
Color
.1943
Sail
Dw& 1N.
.1936
Sapro
Ciw
.1944
Rnfir
Honz
Proms
Clan
Ac LTAR
1
5- IOD~e
0
Q, L5
Ygh ►v5
Zr "
ssx- sc-L.
V;L ~sl ~P
as • ys-
1,00/c,
O-a3
C L-5
V F2 N51~1Q
3
s=iel,
tax sta.
~2. 5
Ps
Lmsmppon 1M W Repair S3' Other Factors (.1946
s "t Site Classification (.1948r'P5
Ava"oSpace .1943 EvaluatedBy:Q-S
atan TYLX<S) pow tow f wmp C.0N
0:6. 1 TAO . Others PiC9Crit' - _