IPAC RRHTE# Qf~ a33~~. Harnett County Department of Public Health 26017
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: CA~P,j fFYZ\4-
ISSUED i0: ; t~Nca L ~u~t-~Jti aS ~>JL SUBDIVISION C ~;VQ PK.z< LOT #
NEW>< REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sre .O ~So xS5
Proposed Wastewater System Type:` % RE pve:r~ to rv -,f cry
Projected Daily Flow: C? GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes -A No
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 VibtO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: L4 I'y tD SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance Cher permits. The permit holler 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,
n
ISSUED TO: ~sta~vc.NL ust o,<aS~ 1c~L PROPERTY LOCATION: C1sst~t3u(zy i'P.t~.~
SUBDIVISION COVZRLn4 Parcx LOT # .3
Facility Type: 1 / New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~R, No Basement Fixtures? ❑ Yes ><No
Type of Wastewater System" a5°Jd Rv flic::~sO rJ
(Initial) Wastewater Flow: 3~a GPD
(See note below, if applicable
P V, $ eS
(Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size \no d gallons
Exact length of each trench a `4 O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. I a inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions: ~o of coves
Trench Spacing: Feet on Center
Soil (over: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Q6 cr \ L S-')", 'FsJ1' V 0 ~T~ S f1Ptiy ~^sccaon tG~`t~__CJ.J `a t ~1P~L 02 FpQ
2 E Prcr? cn p~P 05 t5% S 61 s ~T~~ t~ -1 t~ e L~GA 1 t tl t~/
*If applicable: 1 undeatand the ryrtem type specified it d11fereat from the ttpe ,rpeci6ed on the app/ication. /accept the rpecificationr of thi permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to rar on if the site plan,plaht, 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 subject to compliance r the promo a taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
inches below pipe
inches above pipe
inches total
Authorized State Agent: -mss _ Date: '-s ~N \o
Construe Authorization Expiration Date: it ~-k s
HTE# Qq - 5-a 3~2 Permit #
Harnett County Wpartment of llti
~'itc ketch
PROPERTY LOCATON: Co Xr sw2-l,
ISSUED TO: C=1-7 P., C, v~ v~ tN Cr SUBDIVISION Co,4.CsGvQ j
Authorized State Agent: REi►s~0u~f~L'ToLxsUo(~ Date:
OQ,pw ► ~ G
u~S
blic Health
LOT
4
a
3 S' ~
50 55'
~ a
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Department of Emironmu t, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITZ WASTEWATER SYSTEM
Owner: Applicant:
Addles: Data Evaluated: 1 d
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Suppir. Public ❑ Individuai ❑ well
Evaluation Mothod: Auger Boring ❑ pit ❑
Type of Wastewater. go ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Q Spring ❑ Other
cut
Mixed
P
R
O
F
I
1910
OIL MORPHOLOGY
.1941
THER
PROFRZ FACTORS
E
Poei
slope %
Horim
Dep6
(In.)
.1941
shuck"
Texem
.1941
Cooihteeoe
mbmdo
.1941
Soil
welmmw
Color
.1943
Soil
Dq& IN.
.1936
swo
Clan
.1944
Re*
Had
Profile
Ciw
A LTAR
L>
a s
D 10
G s
vim- ~0 P
sg~
s )P
CS
o
G
s
v%
v ~~l
3"4"
L "4
C,
V Vry N~~r{
F'sC
3
p-~a
vim-
Other Factors (.1946):
Site Classification (.1948): P 5
Evduated By: C)'
others Pram -