IPACHTE# 142- 5 U35 -7q Harnett County Department of Public Health 30026
Improvement Permit
A building permit cannot be issued with only an,Improvement Permit
PROPERTY LOCATION: l ,s- 2 A ci' o
ISSUED TO: ONC 4L Clyw rMoTt-) k Euzpel SUBDIVISION r—. zM' ., 91-A.1.1 LOT # t
NE0< REPAIRE�tP�NSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFCi (�'-Ce1I
Proposed Wastewater System Type: aS'/o-REDUwae�
Projected Daily Flow: GPD
Number of bedrooms: 5 Number of Occupants: 'Lb coax
Basement ❑Yes 'a No
Pump Required: Dyes ❑ No Ng(May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )< Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: ;!N� kl 't�6 Date: 4 191 l� SEE ATTACHED SITE SKETCH
the issuance of this permit by the Health Department in no way guarantees the inu ce of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocouon it 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: CN—T sal" `• CST t P g�s� PROPERTY LOCATION: C> s�rL-.e C!
L1 LOT # t,taN ThT� 0 N ST
Facility Type: SUBDIVISION l —QnxSFS) �60 'too, J New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'J�;eNo Basement Fixtures? ❑ Yes ❑ J{o
Type of Wastewater System*" 2.Smlc 0,C,o13Vrt o(Initial) Wastewater Flow: 6oO GPD
(See note below, if applicable ❑)
', S% t' (�
u (;e t o w s y (Repair)
Installation Requirements/Condidons Number of trenches
Septic Tank Size 1 S O gallons Exact length of each trench 36tf feet
Pump Tank Size s 2 -SO gallons Trenches shall be installed on contour at a
;7r 6 Maximum Trench Depth of: S06 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: feet on Center
Soil Cover. Cc, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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: / understand the system type speaffed it different from the type spedled on the app/ication. / accept the rpecifcationr of this permit
Date:
This Construction Authoriution is su I cation 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 b compliance - sions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
k!7
ized State Agent: ea -A Date: 14
Cons on Authorization Expiration Date: L^ 11 IQ3
HTE# �— y35-71 Permit # 30o a(o
Harnett County Depailinent of 11Tzblic Health
Site Sketch p
PROPERTY LOCATON:
ISSUED T0: NCGo.t_ CPMneTu E.z_tzs>bLnHSUBDIVISION Cv<VL)w, 4.a rq1<+04 LOT# t'1
Authorized State Agent: Qd'h,i5 Cows, GL1zs�0 Date:
A ccb 55
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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): OQs�.>c)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethodAu Boring ❑ 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.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Resn
Horiz
�
LS
Others Present:
NNFNII
i'S
l'
O`3G
G S
� S2 [v�,n�
51 nnL.lA1G S`t1.lD @'•
��l
US
ao ya
'3ks�t_
g-) ssl�t�
�5
Description
Initial
Repair System
Other Factors (.1946):
Systom
Site Classification (.1948):ez
Available Space (.1945)
Evaluated By: d'(
System Type(s)
'3'J
Others Present:
Site LTAR
i'S