IPACHTE# Harnett County Department of Public Health 2 5 3 2 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C.wcc~s s L) c rn V
ISSUED TO: mpa~ \Aonc:5 c- SUBDIVISION 'oa,Gs-~ ~a asts LOT # \0
NEW` REPAIR ❑ ~PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -,1-4i7Q --Idxvlb
Proposed Wastewater System Type: P U FI P To a --Zo RF.Di,-~ G-S No W
Projected Daily Flow: '~)6 O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required:)!Iyes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t (~a feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: CL5 _ Date: C. SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan f other permits. The permit holde is r ponsible 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 T0: PROPERTY LOCATION:
SUBDIVISION V~'Li-s~ `Ctz a~L LOT # 101
Facility Type: S~ CEO BLS New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes \g No
Type of Wastewater System** p~ ~c+5% P.~uct~U uTM (Initial) Wastewater Flow: ~~b _ GPD
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size t no O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches 1
Exact length of each trench 3 e feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 19, ---)a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: ~I Feet on Center
Soil Cover. E` 10 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is dit/event from the type rpecilied on the application. l accept the ,specifications of this permit.
Owner/Legal Representative Si ture: Date:
This Construction Authorization is subject to revocation i to plan, t, 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 s9 _~compliance wi e prn e and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Constru
Date: I; I AD
Expiration Date: 6 A s't
HTE# Permit #5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: Clotn ~ v-c--s ~NG SUBDIVISION Foot ~ ~2tk~L LOT # 10\
L " Authorized State Agent - (,puv s , ~Ol C Date: 6 ~~d
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater.
Design Flow (.1949):
[ 4ublic [ j Individual
[ AA ger Boring
[ ~15ewage
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ j Well [ ] Spring Other
Pit [ ] Cut
Industrial Process Mixed
P
R
O
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
_
L
E
#
1946
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure!
Texture
A941 "
Consistence
Mineralogy
.1942
Soil +
Wetness/
Color
1943~~..
Soil
Depth (IN.)
-.1956
Sapra'
Class
.1~C
- Restr
Horiz -
-
Profile
Class ,
& LTAR
1,0
Description
Initial System
R air System
Available Space (.1945)
System Type(s)
,per,
zP8
ISite LTAR
• 3
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
L@P 9-up (1.-