IPACHTE# Io-s- aa7) Harnett County Department of Public Health 2 5 9 2 6
Improvement Permit
A building permit cannot be issued with only an Improveme rl Permit
PROPERTY LOCATION: S. Eat 1 a.c, \ s...
ISSUED TO: S ticxw CoaS-SCt vc ~~0►.f CO . 1"4 , SUBDIVISION S,EFzc~,P Vatita,c E (Z/ Ovesi "kt_1 S LOT # 13
NEW„< REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S S!72 ~56'~St i
Proposed Wastewater System Type: _S o t•r v E rrs ~o,v ty,l .
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: ~O max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well t C C0 feet Permit valid for: Five years
Permit conditions: IN ❑ No expiration
Authorized State Agent:
6
The issuance of this permit by the Health Department in no way guarantees the issuan
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: 3 )ls► No SEE ATTACHED SITE SKETCH
other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
tent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: SH~r.,f Ce~.s~scLV~at.r Co, PROPERTY LOCATION: S sGczAP~~Tiz A~ i
SUBDIVISION S~eaara V•~~ ~o~a~~~ LOT
Facility Type: SM CSC XS7LJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** Ca"-4 r;va 4 p,,L.. (Initial) Wastewater Flow: GPD
(See note below, if applicable
~ y r'R_7rco
C.o tv.,G"t-tic tj P% L_- (Repair)
Installation Requirements/Conditions
Number of trenches a
Septic Tank Size i aO O gallons
Exact length of each trench -)5 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: _ 40 inches
(Trench bottoms shall be level to +/-1/4" M~
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: 81Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: ~.1 ",.,E. M .5-\ 'i" E. ICJ SrJc)M SE fl Ic S~)gven Aggregate Depth:
inches below pipe
inches above pipe
)a inches total
**If applicable: /understand the system type lpecided it different from the type specified on the application. /accept the specifications of thi permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r anon if the site plan, 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 subject to compliance wi o ns the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: p~wS Date: 3
ruction Authorization Expiration Date:
HTE# I O -5- x.371 Permit # a5'l a(,
Harnett County Wpailinent of -ntmic Health
sic-A- sketch
PROPERTY LOCATON: MPs
ISSUED TO: 5H Co~S~ . Co. SUBDIVISION S~Ean~.~~LLAC~@ Uv~ti~~ LOT # 13
Authorized State Agent: RE~Sl9i-w Date: 3~ls~tip
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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: V410
Proposed Facility: 3 ems, s~ Design Flow (.1949): %ot~
Location of Site: Property Recorded:
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Water Supply: LI-Public ❑ Individual ❑ Well ❑ Spring
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
I
L
1940
OUL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
Landaoape
Position/
Slope %
Horizon
Depth
(In.)
.1941
sbvcwre/
Texwre
•1941
Consistence
Mineralogy
.1942
Soil
wetnew
Color
.1943
sod
IN.
.1936
Sapro
Class
.1944
ReAr
Horiz
Profile
Clan
& LTAR
/o
O ~Y
G 5
Vs rL ,,j5
o- a
s
vF~ . 1~,~
<
'a y'Z 5~ 5T Arz ; t~l Y1C~C=P£i~ ~ Nli=~ ~Q
1C8`x'pt'O" 1idw R6P"" System Other Factors (.1946):
System Site Classification (.1948):
Available Spam .1945 Evaluate BY:
S stem TWO(s
pe v Fl, r. to N
Oths a Presetlt:
Site LTAR ti C