IPACHTE# 0--5- a-,~ Harnett County Department of Public Health 2 E 0 0 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 t'.GrV 'ZO
ISSUED T0: trt^e SUBDIVISION P~.'~o.~ Poi aC LOT #
NEWX REPAIR ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: VO (-(b 1
Proposed Wastewater System Type: u o rJN
Projected Daily Flow: 'L,0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNo
Pump Required:,'es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community b< Public ❑ Well Distance from well Inn feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: `V~r Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ism f 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 taws 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: \A0 VF-:5, PROPERTY LOCATION: ~rtG
/ SUBDIVISION _1; C_Vl $ o~ iS LOT # NG1
Facility Type: S C ~'~3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Qv ".9-70 (7-0 G"r-,,in tJ AL (Initial) Wastewater Flow: GPD
(See note below, if applicable
Qy rn-F~o Co,, v . Q nt A L--(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size to 0 0 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size xp d gallons Trenches shall be installed on contour at a Soil (over: CC?~_ inches
Maximum Trench Depth of: 1"~ =a.L} inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
A regate Depth:_ inches above pipe
Conditions: \rJR-SSQ. L-i~,E C~v i6E. » ~ re SE.P-S'sL.S~Ns ILA TES inches total
**If applicable: / underrtand the system type specified is different from the type specified on the app&,mion. / accept the rpecifi #017r of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca site Ian, p 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 subjee fiance with t rove a and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: _
Constru Authorization Expiration Date:
HTE# Permit # 2./,~W5
Harnett County Mpartnlent of I-~iblic Health
Site Sketch
PROPERTY LOCATON: 1, N cE N
ISSUED TO: ~~t.t A2L \r\0 C. ,(S SUBDIVISION VwT\ o ,AS o LOT # °l
Authorized State Agent Q ~SWti~vC1t ~ot.KsDOr1~ Date: Lj1o
1~ r, ► S7
e time TO
I CA*.IVENCN O N AZ^
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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: 4),S-) J~
Proposed Facility: 3 6Cfjcc,,,., \,o,.~Desip Flow (.1949): -3( 0
Location of Site: Property Recorded:
Water Supply Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: iCSewage ❑ Industrial Process ❑
Shed:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
.1940
L L I
SOUL MORPHOLOGY
.1
941
THER
PROFIT
,
FACTORS
.adacape
E Position/
# Slope %
,
Horizon
Dq 6
(1n.)
O ~
.1941
Sbuch"
Texture
C
.1941
Cowitance
Mineralogy
N ~~,tQ
.1941
Soil
wetn"d
Color
I
.1943
soil
Depih IN.
.1936
Sapro
Clan
.1944
Rear
Hartz
Ptoltle
Clm
A LTAR
8
O`Zi0
~FrU ru~~r jQ
L:5
5
lKepeff syCdhv Factors 1946):
site Classification (.1948] C~
Evaluated Bye
V Others Present---
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