IPACHTE# ICj-5-a--NOs Harnett County Department of Public Health 2 5 9 0 6
Improvement Permit
A building permit cannot be issued with only an -I•-mprovement Permit
P:::, PROPERTY LOCATION: I Ir46EA1
ISSUED TO: Nt-L Ct-g4l- too N1 Lam'-4- SUBDIVISION P-CR6 5 LOT #
NEW' REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S q- D
Proposed Wastewater System Type: Pyr~P b ado kEfluGStort SSFsn
Projected Daily Flow: 3L-s0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes >(No
Pump Required:; byes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well li(DO feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~ I Date: 3131 t0
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is, Goht,,ppermia . The permit hod er isresponsible 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 hall 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 T0: ?>%ki- aAa-.c ~o
~NL PROPERTY LOCATION:
,
Facility Type:
SUBDIVISION 9AiSoaS
New ❑ Expansion ❑ Repair
Pot A~~ LOT #'l
Basement? I] Yes No Basement
Fixtures? El Yes No
Type of Wastewater System** Fu rlQ d
RgaQ„f~fo , G15TErN
(Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
P" Mf c+
05°o RF,p (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size t o0o gallons
Exact length of each trench -7S
feet
Trench Spacing: Feet on Center
Pump Tank Size L noo gallons
Trenches shall be installed on contour at a
Soil Cover: -1a inches
Maximum Trench Depth of- IT a'4
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
inches below pipe
S ~,prs t c
Conditions:+~.~- -+E ~~~t 16 Sao r.
S-t
Aggregate Depth: inches above pipe
_
,
,
n
inches total
**If applicable: / understand the system type specified it different from the type specified on the app/ication. / accept the specilcationr o/ this permit
Owner/Legal Representative Signature: Date:
- - -uw= yF--ti of me mienueu we u~auges. ine construction numoruanon snail not he transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compfie wi s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:e.r" Date:
Authorization Expiration Date:
HTE# 10 r~-a34b5 Permit # as~b~
Harnett County Department of Piblic Health
Site ketch
PROPERTY LOCATON:
ISSUED TO: E3~L-L Ci- x E.s luc SUBDIVISION Pp.TSoNS Qo~ s-c LOT #
Authorized State Agent: <z~Ni6 u FR -~o~csoo Date:
cv,
Pur'~P 70 2.5°la
R-EoUCAIQ~j
2.EPA~a, AaG~
t50
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2
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YLPr.Lr-- Oa-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility:3 2ES~ Design Flow (.1949): 2~n g ~
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
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(1n.)
.1941
Struch"
Texture
.1941
Consistence
Mimmlo
.1942
Soil
wetmmw
Color
.1943
Soil
IN.
.1936
Sapro
Clan
.1944
Restr
Horiz
Profile
Clan
& LTAR
a4
-S,5/
Lj
oM
3
G 5
i
5dK- ~~C~
FCf~ ss~9(
PS C~
Description
Initial
s st
Repair System
Other Factors (.1946):
Site Classification (
1948): ~s
Available S a .1945
.
B
:
Evaluated B
Evaluated
System s
7-3771, a~%
= aeP
y
Others
Site LTAR