IPACHTE# Harnett County Department of Public Health 26137
improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: Cv m 6E2tA c0 ~Ot~IG g PROPERTY LOCATION: PmE2d N s, - V,'>
NEW SUBDIVISION 4o2 ~j~ 2E P,--P,^-lNTr 6.4 LOT # 1~3
REPAIR ❑ EXP'SION ❑ Site Improvements required prior to Construction Authorization Issuance:
of Stru
Type cture: 5~(~ 65~~~$ Proposed Wastewater System Type: PQ m p o a„5 ° b ~ c Z ~a
Projected Daily Flow: ~S CJ GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ~XNo
Pump Require9Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well S 00
Permit conditions: feet Permit valid for. Five years
❑ No expiration
Authorized State Agent:: ti5
Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holder i respon ble 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 ermit 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 T0: CJrn~Ll~-L pt.~ Ls PROPERTY LOCATION: _ cAr-,&Cap
SUBDIVISION yot2~ts~\vRSr 1~ry LOT # \V
Facility Type: S F~ L55 n3$'~ X~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes -~X No Basement Fixtures? ❑ Yes '~<No
Type of Wastewater System" Qu ~P 1 a ~ °/0 2.E p L U7~ p .rr
(See note below, if applicable , (Initial) Wastewater Flow: 3 C) GPD
Installation Requirements/Conditions
Septic Tank Size ► O oc3 gallons
Pump Tank Size \ O on gallons
Number of trenches I:
Exact length of each trench feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. ~Q"a Lj inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover G-1? 4, - inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs.
Conditions: "A PcTEcz-
l.J~ ~ L ASS M a~
inches below pipe
Aggregate Depth: inches above pipe
1V ~ R-~ t^~ SGP'c ~ G_ CJys-r Grp. \V
Q d >N 1 ~~~tl_ Ocz QGVa~n (~.r inches total
*`If applicable /understand the system type specified is different from the type specilled on the application. /accept the speciFications of thi permit.
Owner/Legal Representative i nature:
This construction Authorizaton is subject to revoc if the plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there theis a change in ownership of the site. This
Construction Authorization is u - to co nce w th o f the Laws and Rules for Sewa a Treatment and Disposal and to the conditions of this permit
g SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: -~-8 10
.o uction Authorization Expiration Date. 3
HTE# Permit #
M-truett County Department of 1-1tiblic Health
Site Sketch
ISSUED TO: Cv m
Authorized State Agent:
M
PROPERTY LOCATON: ~zo
_ SUBDIVISION 0,Q LOT # \7_
~15`OL►vG2 ~oL ptJ Date: I a`K 0
,3 0 91 F-E C-T
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: \
Proposed Facility: 3 0 6oci oo.i. Design Flow (.1949):'3(, 0 Property Size:
Location of Site: Property Recorded:
Water Supply: blic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
L
1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
"
.1941
Strocww
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1936
sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
~
s o°!o
n .S
G t.s
,P
s$1e.
F 1 5' e
7 1)6.e, M
vs
E
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a
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3o
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a ~ a.~ ass"
v 3 I
1
L
a..
- ~ s vim. Nst►~? _ i I i I s.
o-to' C. Lrs VSZL 31•~P
l a,~ SBKC.d. 31~ t ~cz b- 18,` u: l rs
G-, LL..
S o-16'V Ls vltl~P
L~ S6 K GL ~25I I~ toy(z us PS
System Other Factors (.1946):
Site Classification (.1948):
Z Evaluated By:
Others Present: