IPACHTE# 10-5--k 45-7Li Harnett County Department of Public Health 26121
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION:
OWLL
ISSUED TO: \4si-L~Arn ~rocrAS ~uzLL-cL7~2 SUBDIVISION LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M P,rc . 1 \o m L ~-16 p
Proposed Wastewater System Type: C.o -r v6,rm vrac-p<<„
Projected Daily Flow: t-'t b GPD
Number of bedrooms: t'1 Number of Occupants: matt
Basement ❑Yes 'k No
Pump Required: ❑Yes ',No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'K Public ❑ Well Distance from well 100 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: ~o ~O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees these 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: \ V'_Omo,,s. Ruh j a- PROPERTY LOCATION: Qa wE>-~- (2D
SUBDIVISION LOT #
Facility Type: 'MPh- . New ❑ Expansion ❑ Repair
Basement? ❑ Yes `.13l, No Basement Fixtures? ❑ Yes X No
Type of Wastewater System' C0 V-1'4 •.r ~ urr P,~ (Initial) Wastewater Flow: I -M GPD
(See note below, if applicable
Pure ~e CowLtv~tc~tvD.~ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Loo 6 gallons Exact length of each trench S3 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover inches
Maximum Trench Depth of. » inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-I14" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
AggLegate Depth: a inches above pipe
Conditions: \,4ATen_ Li , F M n_ 4~G 1a, t~ inches total
`*If applicable: / underrtand the fyftem type fpecifred if different from the type tpeci6ed on the application. / accept the fpeci6cationf of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if Lte plak or the intended use changes. The fonstruction Authonzation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance wit ;~Ian,
of t and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C Toro
Construction A thorization Expiration Date:
HTE# t0' S - Zt-15 t-{ Permit # 2L4-' `-)-N~
Harnett County Department of ll ~iblic Health
Site Sketctl
PROPERTY LOCATON: ~owELL Rp
ISSUED TO: ~t_L a1M ot11?0 k n LF, t- -':S rZ SUBDIVISION LOT #
Authorized State Agent: ,AS L)v(ft -~oLx.Soot~ Date: r", A Ya
LoLjly,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOII.JSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated: C gel 1 a
Proposed Facility: ti ocoac-r, Design Flow (.1949):,A V Property Size:
Location of Site: Property Recorded:
Water Supply: llc ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring F1 Pit F1 Cut
Type of Wastewater: 0-Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
do LTAR
5,
G 51
1
{
5r3y 5c,4.
qWR, 55 1x0
t0i
G, -5
U
C)
u 3
~~-J
s~L
~~t ss~SQ
1t?~i2-t~~e
P5, L)
lit-3
5g~~L
Y S ,
Description
Initial
Svstcm
Repair System
Other Factors (.1946):
Site Classification (
1948):
Available Space .1943
.
Evaluated B
:
Q'
System Typa(s)
Gd
GU
y
(
\
Oth
P
t
-
Site LTAR
ers
resen
:
3 ~ X33 ~ ~Q.