IPACHTE# 10-5--)~4015 Harnett County Department of Public Health 26012
Improvement Permit
A building permit cannot be issued with only an Improvement Pnit
PROPERTY LOCATION: HsL2-MP.v M~ ,t Z.
ISSUED T0: Do,~tiTLLti . C-o • LNG SUBDIVISION CyPRE'5-5 \,JooPS LOT # a
NEWX REPAIR ❑ ;~EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `~';cD~~'A(.O
Proposed Wastewater System Type: C•o N-4 ex-N N o rr c,,L
Projected Daily Flow: O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No AMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well NOO feet Permit valid for. ~klive years
Permit conditions: LJ No expiration
Authorized State Agent:: Date: n SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o ermits. 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 Pe it 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: ~..ys C-10 ~41 ss . CIO . ~NG PROPERTY LOCATION: ~},~L(`rk>., t GRoV
SUBDIVISION CyPa4,15 Wo,e6 LOT # a
facility Type: s~SC- ~a xC~a ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes AND
Type of Wastewater System** Co,s14EPr'~ \O•-A(Initial) Wastewater Flow: GPD
(See note below, if applicable
VvtY.P 7o Q~o4-toNPl~ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size tio(Tx:!) gallons Exact length of each trench 100 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ly inches
Maximum Trench Depth of. X0'3_ 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 _ 6 inches below pipe
_ Aggregate Depth: ca inches above pipe
Conditions: 1 tis ~ cn k' r~ by S sE Goo roc-so "o lj,n,E aG ,p't_yX\ fotJ; n 12,.. inches total
hNY V2Pl.7l"c p2 StTE Pt5't[)(t(3hclGE \1) K-/ "ule-E. 1NE AOO~'~tON C) P Toe-r9 DQ,_
Sys,
**If applicable: / understand the ryrten7 type rpeci6ed it different from the type fpecified on the app/ication. /accept the specircationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization issgbject to revocation if the site plan, plat, or the intended use changes. The Construction Authmmntinn shall not 6 t-d-A Who„ thn.. i< a .h- „r M.
Construction Authorization is subject to comp i rovisi the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: e~ tb
~oc Constr Authorization Expiration Date: ~ r,
HTE# 1 d -S a~ O~i 5 Permit # 91 Co Harnett (bounty Department of ll ~iblie Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: Y::," ~ E. Co Ns> - C o a C. SUBDIVISION CyP 2~ss ~ o ap5 lOT # ~
Authorized State A ent: ,
g ~\~SCo~.~~n.,-TdL~snoc~ Date: ~a
%fx
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOII.JSITE EVALUATION
for ON-SITE WAS'T'EWATER SYSTEM
Owner. Applicant:
~
Address: Date Evaluated: 4)
Proposed Facility: '3 42,C,.5U m. Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply he ❑ Individual ❑ Well
Evaluation Method: R Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Infixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
L
.1940
.1941
PROFH.E FACTORS
L-WO-Pe
Horizon
E
#
Position/
Slope X
Depth
(Ia)
.1941
stru
h
W
.1941
.1941
Soil
.1943
.1936
.1944
Profile
c
u
Texture
Coosiatence
Minenlo
wetnew
C
l
soil
Sapro
Restr
Clap
o
or
IN.
Clap
Hain
& LTAR
p
59, k sLL
cV c~ S Sr
5
rfl
`
P 5
.
Y- <L~
134,
T2 s ly
3~ s v~z~~,t~e e5
4 5
S Ks« ~,L ss)~
D0e"'M1s Op a .194! in" Repair System Other Factors (.1946):
S stem Site Classification (.1948r
Available
stem TWOW G U r~ ~ c U r Present: Evaluated By:
Site LTAA is