IPACHTE# I o-5-ati56a. Harnett County Department of Public Health 26132
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_ N )rsZ.g-y 9Z
ISSUED TO: CAV srvtrss Lp., 'A0 SUBDIVISION W oopSrN LOT # )1
NEW'X REPAIR ❑ 4XPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S cr 0 Up-' 5 )
Proposed Wastewater System Type: ~ v mk" 1 0 25`/0 , - N
Projected Daily flow: GPD sy5SGM
Number of bedrooms: Number of Occupants: max
Basement ❑Yes X No
Pump Required:xes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well t bQ feet Permit valid for. five years
Permit conditions:
~ ❑ No expiration
Authorized State Agent: yQC~~S Date: lD SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua of other permits. The permit holder is resp nsible for checking with appropThiriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improve nt Permit shall not be affected by a change in ownership of the site. s 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 T0: CAV~~tv~s Lt~, NCa ~E c PROPERTY LOCATION: ~u'3gZ 11 D
S PO C ~ SUBDIVISION 0010% A N a.(-- LOT # \`I (c,
Facility Type: S ID New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~ No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** QUnre__T a a R.f-_QU , N 0 N Sys-fir-,,, I I W t-}g?~
(See note below, if applicable
9'J "'977" 2.5% SyS:Esn (Repair)
Installation Requirements/Conditions
Number of trenches l
Septic Tank Size pod gallons
Exact length of each trench a.4o feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ~g inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
( nltla ) astewater Flow: GPD
Trench Spacing: 1 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: \0' a ~ Aggregate Depth:
rn sfP9'1 %C' cJys-sGm N'~ 0
~t>_~~~( 1"1A~j GStcyACt+, ~r.tsC~PI- d2 tze;V. ~n(A
inches below pipe
inches above pipe
inches total
**If applicable: / anderrtand the system type rOecided it different from the type rpecified on the application. /accept the rpecif1cationr of thi permit.
Owner/Legal Representative Signature:
Date:
This Construttion Authorization is subjett to revo if the site pl ,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 subjr~to compliance wRft~he ns o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 2E Date: c
fon ion Authorization Expiration Date:
HTE# 5 Lis a, a;613~
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: N L)QZervy
ISSUED TO: C-Pw I -p"40 Q By SUBDIVISION oao5N-,~,\ (LC. LOT # ~-T C
Authorized State Agent: ~L,vPstTo1- tt~~ Date: T~~
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 1Z
Proposed Facility: L-\ gC-b 2oo~ Design Flow (.194q): L"AC,
Location of Site: Property Recorded:
Water Supply: Pubhc ❑ Individual ❑ Well
Evaluation Method: 13< Auger Boring ❑ Pit ❑
Type of Wastewater: IE~ Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
010
.1941
Structure/
Tudors
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
t_s
vn- V a5WP
~1
Sgt S4. L
FCL 5'>
&D,
X135
s~L-
s~ l rv Q
PS S
txscnptron initial Repair System Other Factors (.1946):
S Site Classification(. 1948):
Available Space 1945) V Evaluated By: C3
System Type(s) eofvv ~s b Others Present:
Site LTAR 5