IPACHTE#10 --a__'f-)Harnett County Department of Public Health 2 5 9 3 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Po N ~E t~5~ l e p,~
ISSUED TO: s0 rJ Q 2~ C X_ Co, C. l s•► G SUBDIVISION CKQ-01-)NA 'S 0 NS LOT # 714
NEWX REPAIR E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 ~fl QSa -"L)°S
Proposed Wastewater System Type: Ccti N -4 E. r f",ti Q r-4 A t--
Projected Daily Flow: Lli10 GPD
Number of bedrooms: '-l Number of Occupants: IV, max
Basement ❑Yes >No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 O O feet
Permit conditions:
Permit valid for:
five years
❑ No expiration
Authorized State Agent:: I
The issuance of this permit by the Health Department in no way guarantees the 11_6~hq
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.
.A5 3
Date: I W SEE ATTACHED SITE SKETCH
of other permits. The permit holde is resp sible for checking with appropriate governing bodies in meeting their requirements. This
Dement 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 TO: S Asa ~s -`1 cL\r_ . C N"S--, 1 N PROPERTY LOCATION: Pa H nFaC~iSArt_ to L
S SUBDIVISION C(~2oLar1A. S~p,JONS LOT # _9L _
Facility Type: RR45:.'xU 00 X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes )<No
Type of Wastewater System** Co wy E-n to N A (Initial) Wastewater Flow: _L+ _ GPD
(See note below, if applicable
CZ, -I5_N s t o r't a.ir (Repair)
Installation Requirements/Conditions Number of trenches y
Septic Tank Size 10 MO gallons Exact length of each trench So
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 2. A -30
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
feet Trench Spacing: 1 Feet on Center
Soil Cover. -'U inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: ~'SCct, --,N Sao . `JE*pN s L S Aggregate Depth
K ys-rLK,
inches below pipe
inches above pipe
inches total
'*If applicable: / understand the system type specified is different from the type specified on the application. /accept the rpecircationr of thin permit.
Owner/Legal Representative Signature: Date:
This Construction is
Authorization is su revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be trann there a change in ownership of the site. This
Const uction r i,'
no w ~hance wi r~it ons oLaws and Rules for Sewage Treatment and Disposal and to the conditions oSEE ATTA( HED SITE SKETCH
Authorized State Agent: G~5 Date:
Cons tion Authorization Expiration Date:
HTE# SO Permit # 29`7
Harnett ('Olznty Department of 1"Itblic Health
Site S ketch
n PROPERTY LO(ATON: P OF~a~P, 1 RP t L
ISSUED TO: P~So ~S Co 5-c ,1N SUBDIVISION G~a~ L~ ry~ S~A,So N5 LOT # -
Authorized State Agent: 5~o~-wE~~C Ksao Date: 31 23) 10
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: = ' 1 i d
Proposed Facility: r--, t~~cxzo~~` Design Flow (.1949):L,` 0
Location of Site: Property Recorded:
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Water Supply: Public ❑ Individual ❑ Well ❑ Spring
Evaluation Method: uger Boring El Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process C1 Nfixed
❑ Other
P
R
O
F
I
L
d
.1940
~ L
L
SOIL MORPHOLOGY
OTHER
.1941
PROFILE FACTORS
E
#
an
a
ape
Position/
Slope X
Horizon
Depth
(In.)
.1941
Stnu unw
TexAwe
.1942
.1941 soil 1943 .1936
Consistence wetnew soil Sapro
Minerab Color IN. Clan
.1944
Restr
Honz
profit
Clam
A LTAR
« v
6 s
VFcY~a l~~
3
-5
Description Initial Repair system Other Factors (.1946):
Available 3 a .1943 3 Site Classification (.1948): e
S !tens a = o' 4 Ce r~ Evaluated By: Site LTAR a Others Present:
n-
Cz~--~A i2,