IPACHTE# I o--~6~ Harnett County Department of Public Health 2 5 9 0 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCAT?0:-i tace. ,r
ISSUED T0: SUBDIVISION o LOT # _L
NEWXi REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S''D(,(,,L,Li:
Proposed Wastewater System Type: Co ...r E_,cv a - KL--
Projected Daily Flow: "136 GPD
Number of bedrooms: _
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Number of Occupants: `~-Z max
XMay be required based on final location and elevations of facilities
X Public ❑ Well Distance from well {(~O feet
Permit valid for: V Five years
❑ No expiration
Authorized State Agent:: ~QFrs Date: 313/ 1-0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance 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 Improveme 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, .1957, .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: gs~~ Cl-c-n-NL `-O s~NG PROPERTY LOCATION: S. 9--0
SUBDIVISION Vrmmows eo s a: LOT # 5
Facility Type: SV0(f~-W y'r y / New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C.- vv 6r.,;10";>mt_ (Initial) Wastewater Flow: `4'qO GPD
(See note below, if applicable
Qy i-F-5 a5ll R uGt e >J SySIr=r,(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t!-,Do o gallons Exact length of each trench ;jd feet Trench Spacing: of Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: _ la inches
Maximum Trench Depth of: Q!J 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 41 inches below pipe
Aggregate Depth: a inches above pipe
Conditions: ~`/5-fLY-11 S~ inches total
**If applicable: / vadermfld the system type specified /s different from the type specified on the app/icatioa. / accept the rpeciflwionr of this permit.
Owner/Legal Representative i nature: Date:
This Construction Authorization is subject to re on a site pl n, 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 is sub ompliance wi ons o e laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~.l Date: 3 f 0
truction Authorization Expiration Date: 3 g
HTE # b ~5 -~3`7 6~3 Permit # a-S°10 5
Harnett County Department of Miblic Health
Site ketch
PROPERTY LOCATON: >>N
ISSUED T0: g LL C~* `coo SUBDIVISION LOT #
Authorized State Agent: - ver2~oL~csoOtZ~ Date: ~3~ LU
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V N K 641- a v S~~ C7
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: L1 8 W as m Design Flow (.1949): LVO
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: 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
I.
E
#
Landscape
Position/
Slope
Horizon
Depth
(1a)
.1941
structure/
Texhlre
.1941
Consistence
Minenlo
.1942
Soil
wettneas/
Color
.1943
Soil
Depth IN.
.1956
Sspro
Class
.1944
ReAr
Hoiz
Profile
Class
LTAR
so
o ate;
s
vin- N~1~~
a
0-40:'
G
v~ 'A *,f
Description
hnitial
s st
Repair System
1
Other Factors (.1446):
Site Classification (
1948):
Available 3 ce 1945)
7
.
Evaluated B
0
Syd= Type(s)
CC3I~f
r WlY1Q fi.iF1
y:
r2(y'7
Pr
t
Site LTAR
g
H
esen