IPAC RRHTE#0~~] ~3g-~-- Harnett County Department of Public Health 2 6 41 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C~~se7uQ.~ Qc~t>z..~,.-tJ
ISSUED T0: SrN ~^s ` ~u L 0C_ z~, - SUBDIVISION C -q
~ccsSuciy QpCZ~ LOT # -70
NEW REPAI El VPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 qD `5` 51
Proposed Wastewater System Type: 'PU c- \ a ?sou~Swr4 5 *Srs E,4-,
Projected Daily Flow: 3CcO GPD
Number of bedrooms.Number of Occupants: max
Basement ❑Yes `XNo
Pump Required7:?Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community `K Public ❑ Well Distance from well ti00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: to SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of 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 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, .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:SlPccvC~~l. ~utLOE 2z5 1+•tiC. PROPERTY LOCATION: C-0 y-r*G0,,, ~g2~LrJ
SUBDIVISION Comic. jjL>cz_-/ LOT # _
Facility Type: S ter fl~~3 " 1~~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes -14 No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** QI u ftw --Ta ~5`/o r2 ~O V ~,-<~o sJ syS. C-- n (Initial) Wastewater Flow: 3.C<5 GPD
(See note below, if applicable
Pun 1o aS710 ~LOV/-~C~orfS =r`fRepair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size L o o a gallons Exact length of each trench 2 feet Trench Spacing: Feet on Center
Pump Tank Size Lba o gallons Trenches shall be installed on contour at a Soil Cover 6-1D.. inches
Maximum Trench Depth of. 1~ - X14 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
Aggregate ~ArG0-- ~--sNC- J -7 Depth: inches above pipe
Ep-~' tL 011 LvT s~.5 inches total
i rPy ~Sic~o~c~\ O r > ~~sv~C~At_acL0,~2.o . PES~ch~~ BA n dt~ Pc1aP AC Sogc~~~ Il
vA 11 L-1 ,a 100.4 ~11 w y.26n ~Loac S;!vQ-N V¢~ ,t ,y Live (S LE
SY.CSG~~
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the Ian, 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 subject to compliancSw h t leta~_e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: L4 I fy
Construc ' Authorization Expiration Date: L4
HTE# 0`1-5-
Permit # 2k~.
Harnett ('onnty Department of Public Health
Site Sketch
PROPERTY LOCATON: C.A•«5c 2~ QA L~►
ISSUED T0: SUBDIVISION Co~cLSgu~Ly ~p~C LOT # ~O
Authorized State Agent: - 19~~vErl S~yKSOr Date: 4L~ d
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluition Method.
Type of Wadewater:
Date Evaluated:
Design Flow (.1949):
ReconhXE
❑ Public D ❑ Well
❑ Auger Boring ❑ Pit ❑
❑ Sewage ❑ Industrial Process ❑
Shed:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ other
cut
Mined
P
R
O
F
t
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACMR9
E
At
slope %
Horizon
Depth
(In.)
.1941
Struch"
TG AM
.1941
Caoeigm"
Mineralogy
.1941
Soil
weNar
Cola
.1943
sod
Dw& IN.
.1936
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Clan
.1944
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Hart
Promo
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30 3?`v
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Site Clauificetion (.1948r P 5 B)r
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