IPACHTE# Harnett County Department of Public Health 2 6 01 1
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M+~~S
ISSUED TO: ~ Jr('+MNTAC,-'5 SUBDIVISION E~ QZ) LOT #
NEW, REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: G~Fc)(.51 'tA'l
Proposed Wastewater System Type: OA Uc;.oN
Projected Daily Flow: _ GPD )S s~~
Number of bedrooms: 3 Number of Occupants: J~)_max
Basement ❑Yes '1 No
Pump Required:-*es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 O C3 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the issuance her
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
y5 Date: Y Ial ,O SEE ATTACHED SITE SKETCH
permits. The permit hold Jr is re ponsible for checking with appropriate governing bodies in meeting their requirements. This
ermit 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: YE "4 a es"~ CV %-n N 6-5 PROPERTY LOCATION: Mt~cZY S
SUBDIVISION ~sHES: c,Q,0 LOT # .
Facility Type: S~Q C53 ~y-I/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes X, No Basement Fixtures? ❑ Yes -No
Type of Wastewater System" P 0 n< "To -'\5 % 12 clJu o 0 S f-sr (Initial) Wastewater Flow: 30 GPD
(See note below, if applicably
I---- e e (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size S 00O gallons
Pump Tank Size ~oC_ gallons
Exact length of each trench 7 C7 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1S --)a Inches
(Trench bottoms shall be level to +/-1/4"
Trench Spacing: c) Feet on Center
Soil (over: C inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: w-rcF..ct~ ~ G ti; ~cl d c^ S p,c ICPr~S y s c c~ ~ s inches total
~l ~v, :~E.S ~A~l ~Scc~.oPG~_ ar.t `til<~t'~L oa-- ~t"c.sn CA
**If applicable: / understand the system type speciled is different from the type rpeclled on the appliwi&7. / accept the specilcations of this permit.
Owner/Legal Representative Signatu Date:
This Construction Authorization is subject to revoc on if the s an, plat o e intended use changes. The Construction Authonzation shall not be transferred when there is a change in ownership of the site. This
Construction Authonzabonnompliance wi a pro ~ws an ules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: v KLNS Date: Q~ ),o
Construction thorization Expiration Date: lm
HTE# FCC--S-"aL1O`1~ Permit # a(00
Harnett County Department of Viblic Health
Site Sketch
PROPERTY LOCATON: M P<e.`(S RA:l
ISSUED TO: SUBDIVISION PsHEV"o2.a LOT # -7
Authorized State Agent: 4L-W0[`sCOV Date: ail all 0
90
1~5 ~
1`35
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Sup*. ❑ Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ❑ Auger Boring ❑ Pit
❑ cut
Type of Wastewater: C1 Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
.1940
SOQ.MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
I
La w8c"
Position/
910" %
7~
Horizon
Depth
(In.)
V~1
.1941
Structuro/
Texture
G `
.1941
Consistence
Minarab
.1942
Soil
wetnen/
Color
CPO C~~- 3S,
.1943
Soil
D"d IN.
.1956
Sapro
Clan
.1944
Re*
Hoes
Proflb
Ciao
R LTAR
~
, k
p -33
5
a
per,
yam, i
0` G
C, ~7L
Vin w51Nc'
(,5
3(6
~ ~c-t-
V'~,
3b"
1G - r vr,_ u7A t
xepatr sy~ Other Factors (.1946
Site Classification (.1948r e5
Evahnted By-,:D'S
others Present: ( )
L~PP Q[ (.~S ~~•3_ ~E..~.r.~G +'1 ~ , (1.1 rT.,l G('' /