IPACHTE#)C~-5-aY-)~13 Harnett County Department of Public Health 2 5 9 4 8
Improvement Permit
A building permit cannot be issued with only an Improvement ermit
PROPERTY LOCATION: McV-Z
ISSUED TO: \rl rn . Kq s- s ~x c~ , N r" SUBDIVISION LOT # \
NEW`i REPAIR ❑ 4XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 ~S ? Cad S' Proposed Wastewater System Type: P~+*~o~ ,,.tvG►st,yc+p,L
Projected Daily Flow: 31o O _ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes X No
Pump Required '4Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well lad feet Permit valid for. five years
Permit conditions: ❑ No expiration
Authorized State Agent: ~mguaran S_ Date: 3 3 of > O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no the is 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 all 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: Wr` • Q~FSt.~C-. 1N G PROPERTY LOCATION: r'le.t-i -S
SUBDIVISION P~s~E Fb~ LOT # 15
Facility Type: ~~~30~~cSt t~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ YesNo
Type of Wastewater System" pUr"'e tEt-T:eot l (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable
P u i rf P-, (Repair)
Installation Requirements/Conditions Number of trenches 1.3 41Z
Septic Tank Size v p o O gallons
Pump Tank Size I 0(31Z gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench VS '36 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: S inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: _-L- Feet on Center
Soil (over. C - )Z~L, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
A$Sregate Depth: inches above pipe
(onditions: ~ASErL L tE ~1j s o }C sLS-CsES I inches total
M P`~l E- C-" P-o*-\ &T-4 y t )i;>\1_ O ~ p.\ r_n s .
**If applicable: /understand the system type specified is different from the type rpecired on the app/ication. / accept the specipcationr of this permit
Owner/legal Repre ntative Signature: Date:
This Construaion Authorization is su revocation 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 subj to complian sio the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 ) -'3 o) N~
Authorization Expiration Date:
HTE# 10-S a3°~c~3 Permit # 'a,'Eq'A $
Harnett County Department of Public Health
Site sketch
PROPERTY LOCATON: K f--lrcv---. << s
ISSUED TO: \ eacz SUBDIVISION _'0, ac-pq p LOT # 1 ~1
Authorized State Agent 4eis5 o~~+rEri'i of Date: F 3~36~ ►o
I ra~~ lo
3 gEact~ro N,
r5" rwvZE
D
yo Y
~q c
Department of Environment, Health and Natural Resoums
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWA'T'ER SYSTEM
Owner. Applicant:
Address: Date Evaluated:3)an Q
Proposed Facility. -I Design Flow (.1949): d y~
Location of Site: Property Recorded:
Water Suppir. Public ❑ Individual [I Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater Sewage ❑ Industrial Process C]
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
M
Landacapa
Poitioo/
Slope %
Honzon
Depth
(1a)
.1941
shmeft e✓
Texbre
.1941
Conieter"
min=101tv
.1942
Soil
webm"W
Color
.1943
soil
IN.
-Depth
.1936
Sapro
Clan
.1944
Rae
Hods .
Pmfflo
Clan
R LTAR
ci
c,
VV71- 11)
Site Classification (.1948}:5_
EE e ~"e, Evaluated By:6
Others Present: