IPACHTE# K> -5-3i Harnett County Department of Public Health 29045
Improvement Permit
A building permit cannot be issued with only an Improvement Pe9`11
PROPERTY LOCATION: 11 N 61,t4l �
ISSUED TO: P\vAC.) L Qu sL.o ERS t.1 L SUBDIVISION QoiTe Ns P o s aVT LOT # 13b
111101< REPAI❑KPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe: 2-S'/0 94ZVCo 10 N STct^
Projected Daily Flow: 3 �� GPD
Number of bedrooms: Number of Occupants: max
Basement ❑YesNo
Pump Required: ❑Yes � No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '15. Public ❑ Well Distance from well l O 0 feet Permit valid for. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent: :!�QfLNS Date: l6 1 t; SEE ATTACHED SITE SKETCH
The issuance of This permit by the Health Department in no way guarantees the i ipC' of other permits. the pemdt holder i responsiEle kr rheding with appropriate governing bodies in meeting their tequiremenn. This
site is subject ro revootion if the site plan, plat or the intended use changes. The Impro ement 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 commsction and installation requirements of Rules .1958, .1953, .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: Civ I t_004'5 \N f✓
PROPERTY LOCATION: Y sN esu &D
Facility Type: �� Lys x3 ��
SUBDIVISION pcnSSaN7
New ❑ Expansion ❑ Repair
PoN.j-T LOT# i
Basement? ❑ Yes � No
Basement
fiutures? ❑ Yes o
Type of Wastewater System**
`lo
ezoc'y I C1ysT r
(Initial) Wastewater Flow: IC O GPD
(See note below, if applicable ❑)
Q� f,0 S -a�
. (Repair)
Installation Re uireme�nts/Conditi—ons
Number of trenches H
Septic Tank Size L boo
gallons
Exact length of each trench 4, O feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: C' IZ inches
Maximum Trench Depth of: inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4w
36" above the trench bottom)
in all directions)
Pump Requirements: h. TON vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / ondeatand the r}rtem type rped6ed is different from the type dpedfed on the app/iration. / accept the rpedficationr of Chir penoit
Owner/legal Representative Signature: Date:
This Construction Authorization 4 subject to revocation if the site plan, 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 suhjlet p mmf;10 provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Istruction Authorization Expiration Date:
HTE# 1(,-5- 3q0-95- Permit # &° O
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: Tt^1GEN pla
ISSUED TO: rc� ANGi V"uOM5 �N c SUBDIVISION P01N'T LOT # Ilk
Authorized State Aeent: ��� �oLw6� �O�`�tl � Date: T� J 1-7 1 b
1819'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): )-fo
Location of Site: Property Recorded: "
Water Supply: Public❑ Individual ElWell
Evaluation Method.:& Auger goring E]Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
&LIAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Rem
Honz
0'J
3S
Gas
Jro ^.3W
Q S
���i
�x scz
�a sshP
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Q,J i C2 c+rJ Others Present:
Site LIAR