IPACHTE# 10-s-a~i Harnett County Department of Public Health 2 5 9 2 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: i''► s • ~~s ~~H CV QQIC,t~ (~D
ISSUED TO: SoE>~ fl 1 t~."7 _ SUBDIVISION M c.~. >=oo LOT #
NEW REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15F9
Proposed Wastewater System Type: Curv-4 ~ ~ o nc t✓
Projected Daily Flow: ~-00 GPD
Number of bedrooms: H Number of Occupants: '04 max
Basement 2!~es ❑ No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public X Well Distance from well ItOO feet k
Permit conditions:
Permit valid for:
PROPERTY LOCATION: YA
SUBDIVISION fl c, LC-4
C
❑ Expansion ❑ Repair
❑ No
Authorized State Agent:: A\~__~~~~(1~~35 Date: 3 1 `o)~o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health epartment in no way guarantees t 'nuance of 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 Improvement 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: ::y o ~y 01 P+z
Facility Type: New
Basement? X Yes ❑ No Basement Fixtures? ❑ Yes
Type of Wastewater System"" Cv rv-46 r~^ ,C)tv Al
(See note below, if applicable
G0ty r Lhr;. C3 N o, t_
Installation Requirements/Conditions
Septic Tank Size ~ooo gallons
Pump Tank Size 00O gallons'
\ G NEE61:9 F'OrL.
t3oa~^E;r-r. C= tx~rurt.F~S
Five years
❑ No expiration
LOT # 7
(Initial) Wastewater Flow: L--j-6 a GPD
Number of trenches 1---)
Exact length of each trench 104 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 1~ ~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Trench Spacing: '~-'1 feet on Center
Soil Cover:-__ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM C inches below pipe
Aggregate Depth: Q, inches above pipe
Conditions: inches total
\'~~L~ S~ C~GER ~2 i~N `JtP CE ~~V \ M ~S ~N~N ~t2 AG F \C R H'CE~ P*4-,1 5 Y) o5\" ?-1E Osaj
**If applicable: / understand the system type specified is different from the type specifed on the app/ication. / accept the .rpeci6cationr of this permit.
Owner/Legal Representative Signature: Date:
f
This Construction Authorization is su econ if the lan, 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 to oompliance wi the a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
(s-- A S
Date: 31 Iloilo
Q r s~A► S C.-'i V 2C 4 V.D
Con3ttuction Authorization Expiration Date: 3 0 1ST
HTE# I O -5--): IA 1 p 't # 3-s 4) ` -
ermi
Harnett County Department of llliblic Health
Site Sketch
PROPERTY LOCATON: M's . Q f-G;NT-l Cka vzc.~1 Q~
ISSUED TO: Q d E~ Z SUBDIVISION M c j-cc n LOT #
~oLw62'SoLYSiw 3 0~ ~0
Authorized State Agent: t4-v-S Date:
E~ ~s-~ ~w e
w ~-LL
0
O
d
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: 3~ la~ ll1
Proposed Facility: L' 6E0Q00 r- Design Flow (.1949): '4'<5xl
1,ocation of Site: Property Recorded:
Water Supply: Public ❑ Individual
Evaluation Method: Auger Boring ❑ Pit
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
~,rrs r~ 6
Well ❑ Spring
❑ Cut
❑ Mixed
❑ Other
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
L
Lmdacspe
Horizon
1941
E
N
POSMOR/
Slope %
Depth
(in.)
.1941
Struch"
.1941
C
d
Soil
.1943
.1936 .1944 Profile
o n
ente
wetneew
Sdi
SWO Ratr Chas
Te~dun
Mineralogy
Color
Clm Hain ALTAR
I
o SaS''o
r
0~3t~
G s
~~^tis
a.
3o
v 5
vim. ~l~
~ ~J \I
WJ, l00
z ae?o,%a-
kAjv&i;1W& .~.r uviw xepaa 3yst m Other Factors (.1946):
Sat Site Classification (.1948): fS
bl e S ce .194! ~ ~
ifw 1 TAD . .