IPACHTE# ~O -S-Z~'~cA Harnett County Department of Public Health 25941
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NL_9~-4E 1pe
ISSUED TO: -14 S C- y - tY\ t N G, S SUBDIVISION Sy LOT # OK3-
NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F7 Q'-' %'-Lk 6
Proposed Wastewater System Type: Co t4v G .-4-1C \O N Aii,_
Projected Daily Flow: 3(a O GPD
Number of bedrooms: __111 Number of Occupants: C max
Basement ❑Yes XNo
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 b O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: _ 31 Z)."t\10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu [other permits. The permit hol er is resp risible 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 Improvem 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, .1951, .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: K.v--"r-4 Gy rntr\rv 5 PROPERTY LOCATION: ~iP \N E cz_
SVC)(,<X 4 J SUBDIVISION S u c-r^ ri LOT #
Facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** CN'ISN-< N0 r4 N (Initial) Wastewater flow: 3~ d GPD
(See note below, if applicable
Co Irv G-r,4 ` 0 N Dc 1„ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size L d O gallons Exact length of each trench 5 D feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a11'3-~- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: \-I~r~~~-~~C :il2f. ~C) C-2FiM (D 5N C,r' y5~
U N \ L a T'1 M" G.NGCUOPtG~ C~a ` IN \Z% o-, _ t,, n _ V.~o4.C1
inches below pipe
Depth:- inches above pipe
inches total
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subjec tion if the site pfin, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the site. This
Construction Authorization is "I to complia ith t " ns o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Trench Spacing: Feet on Center
Soil Cover: 17 - inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Authorized State Agent: Date: 1a
Const 'on Authorization Expiration Date: ?
HTE# Permit # a-SG1~1 }
Harnett County Department of Public Health
S ite Sketch
PROPERTY LOCATON: CZ
ISSUED TO: L l.~ MME SUBDIVISION S v mn, V-~ LOT # '93
Authorized State Agent: 64L" oiDate:
3~
1B5
S l LVC~(~-rS.~C.~RUE ~fLl J~
Department of Enviromment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: 3j a4l) a
Proposed Facility:3 -0,G, ~{r oo Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Shea:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Nfixed
P
R
O
F
1
1940
OQ.MORPHOLOOY
.1941
THER
PROFILE FACTORS
L
E
#
Lobficape
Position/
Slope %
Horizon
Depth
(in.)
.1941
Strueft"
Texhae
.1941
Coaabtence
Mina fo
.1941
Soil
Web"mw
Color
.1943
god
IN.
.1936
S"m
Clap
.1944
R4*
Horiz
Profile
Clan
A; LTAR
I
J
InKm Repair Sys Other Factors (.1946
Sydem
Site Classification (.1948Y
Available Space .1941 EYud p,,
Site LTAR v Others Present: