IPACHTE# 0c)-S-:~1iW'4 Harnett County Department of Public Health 2 5 8 6 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Co" oc-- o P, Q.C,
ISSUED TO: GvM~l~z.~P,.p SUBDIVISION C-P.1t.0L`%tJ~P1 SEfisaN} LOT #
NEWX REPAI ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: " !
Proposed Wastewater System Type: Pv o Ccswv:vaND.L
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: C, max
Basement ❑Yes XNo
Pump Required: 4es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public 1:1 Well Distance from well x O 0 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent::Date: \ O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the of other permits. The permit holder is respo ible 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 Improve 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,
with the attached system layout
.1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
ISSUED TO: GvrnC3C~L1.t G\XornE---) ~4 PROPERTY LOCATION: 96N0EQOSA
SUBDIVISION C~lol-yr rte. 5 ~c~So N LOT # 5-7
Facility Type: S
New ❑ Expansion ❑ Repair
'
Basement? ❑ Yes No Basement F
ixtures? ❑ Yes
XNo
Type of Wastewater System** puchP~o
Cti n,vF~~~oca Pst_ (Initial) Wastewater Flow: GPD
(See note below, if applicable
PV MC' 7Q
C-0 NYE,J.~ k 0 r,4 AL (Repair)
Installation Requirements/Conditions
Number of trenches 2:
Septic Tank Size t CDC) e) gallons
Exact length of each trench '7S feet Trench Spacing: Feet on Center
Pump Tank Size LO O o gallons
Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 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
ons: U,.,t n,~ Pu,,
3S 1 O ~ ~o
L' O.7 a, 6-E. \ r%5~E1L C" or, C--,y se-,
E IC\
Inches below pipe
Aggregate Depth: Q inches above pipe
AtEa Lsmc )a. inches total
**If applicable: / understand the system type specified is diNerent from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authonratinn is aihin,t m -»-i- if fhe
»uw..--,, ,nao nur ue transferreo wnen [Here is a change in ownership of the site. This
Construction Authorization is su ect to comp i visions a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: l5 Date: s w _
Construct thorization Expiration Date: t tS
HTE# O°1-S-a3i► Permit # ZL5,~,L-4
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Po-pEAQ5H Vp
ISSUED TO: Cures Hz> VtiL SUBDIVISION CPi2P~ yftP+ SCAS6-43 LOT #
Authorized State Agent:=a+~4Lw~cTo~ rscx,~ Date: t ►Q
I X16
SeQN.Zc. Fi-awczjZ C )CL-
Department of Environment, Health and Natural Resources
Division of F.nvimanmtal Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evahrated: \
Proposed Facility:) (66xiao-,. Design Flow (.1949)• v 1
Location of Site: Ply Recorded:
Water Suppiy: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: --a Sewage ❑ Industrial Process ❑
Shed:
Property ID:
Lot N:
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
8
*
Pod
Slope %
Haim
Depb
(hL)
.1941
shuch" a
.1941
MC m
.1941
Soil
wetnaw
Color
.1943
son
DW& 1N.
.1936
SAM
Clow
.1944
Rehr
Hors=
Pmft
Clow
R LIAR
5.3
G 5
fit, N~~NP
5 -
P°` site ClawiHcadon (.1948r B~
tO u ~e c o Enhated By: 4
- Othas Preset