IPAC RHTE# ►CS-s--3~6 Harnett County Department of Public Health 25891
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO: TA Qss ~11 j PROPERTY LOCATION:
LE SUBDIVISION _ \-J G ¢X,y F LOT # ~
N€W REPAI
ANSION El
g Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~rO' x S
Proposed Wastewater System Type: ~S°le ~Eo~rC;~dsl ~y.57vf",
Projected Daily flow: ~ t 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 i C)Q feet
Permit conditions: Permit valid for. Five years
❑ No expiration
Authorized State Agent::
- Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the isi other permits. The permit holder is res nsible 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 ermit 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, .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: Cross )2' ~Y,E 16 u1 t p~S )rjC_
Facility Type: S c~~t1G,S New
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System" 1s °lo- Q E ou c , ~ 6 'J ~
(See note below, if applicable I
PROPERTY LOCATION: I Rsta«c CZr
SUBDIVISION \4 P-N I,-, Ga c, v E LOT #
❑ Expansion ❑ Repair
No
-Js~&i- (Initial) Wastewater Flow: 3~ 6 GPD
DCL,e (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size s pb o gallons Exact length of each trench atA5 feet Trench Spacing: Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a rips Soil Cover:
inches
Maximum Trench Depth of: YQ, inches (Maximum soil covershall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Conditions: W p-cTFjL 1-~,NE Masi ~)C S;~-czoS eJ Aggregate Depth: inches above pipe
~ inches total
gp.s~ du ~o2osC~c ~c>at~ wee~~c~, o~y coNJ5U~CauC
**If applicable: / understand the system type specibed is different from the type specified on the app/ication. / accept the rpecificdtions of this permit.
Owner/legal Representative Signature:
Date:
This Construction Authorizaton is subject to revo
c;Jttow it the st an, 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 o c permit
Iompliance the ovt Laws and Roles for Sewage Treatment and DS p
posa! and to the conditions of this
SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: _
Const tion Authorization Expiration Date:
HTE# ~C)- 5- H ( Per7'ublic # 8•~~ 1
Harnett County Depailment of Health
Site Sketch.
PROPERTY LOCATON: LP~5 tcz~ Z
ISSUED TO: ~s5 v)(3 ~6UNL livL SUBDIVISION P.Lp.,j L,-c
LOT #
Authorized State Agent: ?`6 ~t7L~V ot.p0~ Date:
I
REP~")(2,
R2C--N
►-A51j"
gQ'
113-
53~ ~
15~
55'
C- 8S"
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section F~ ile#M:
:
SOLUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM Cade.
Owner. Applicant:
AAdmm: pate Evaluated:
Pmod Facility: Design Flow (.1949): Property Size:
Location of Sine: Property Recorded:
Water Supply: ❑ Pulmic ❑ Wividual ❑ Well ❑ Spring ❑ other
Evaluadon Method:
Type of Wastewater: ❑ S ge
❑ bdustrial pis Mixed
P
R
O
F
SOIL MORPHOLOOY
1
.1940
.1941
E
*
POWd*W
Depth
d
.1941 .1941
. son
slope %
(IL)
Structmw
TeuWI~n
mh
l
webmw
ura
offy
Color
C.(
sip
0-16 G VFT ~1
!6•"3G SSr~s~~ s515Q
7 _'b G 5 ~a.
mss) aP
.r
$ 14slv4 tcr~a ~1~ ~,,1~`,
OTHER
LE FAC
.1943
Soil
o- ►o G s ,gyn. ~ 1 up
„ c
to crc r~ xs lv~ t~y2 ~hely``
014
IT
iG rrC, s4 ~criq ?h ~aa,`,
19%
.1944 I ?,Oft
Reetr C1na
k)5
vS
UUMf Factors (.1946k
Site Classification (.1948r
Everted B)r
Cram Presort