IPACHTE# Harnett County Department of Public Health 2 5 7 6 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M otz
ISSUED TO: CU M2~GsLt-F-"9 \,--N oc SUBDIVISION ~~Nr~ga LOT # _
NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S, q D (5 LA L
Proposed Wastewater System Type: ora.rclri-r 4%,AP'.L,
Projected Daily Flow: Li<i O GPD
Number of bedrooms: t-} Number of Occupants: max
Basement ❑Yes ,
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Sup I : ❑ Community X Public ❑ Well Distance from well AOC feet Permit valid for. X Five years
Permit conditions: p~,~'~ ❑ No expiration
Authorized State Agent.: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan f other permits. The permit holder is esponsible 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, .1951, .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: Curreecu..p. ~ko rtiY S PROPERTY LOCATION: MaP---4-s
SUBDIVISION PSr+rEFoao LOT # =5_
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System" C-'0 r t.tE~ cf (Initial) Wastewater Flow: ~n(~)_ GPD
(See note below, if applicable
Co Nv v N~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size \.o0a gallons Exact length of each trench 4,.5
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a'!
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
feet Trench Spacing: Feet on Center
Soil Cover: 12i inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: \AA~E2 1 sr~tG My-51 et; t0 g -c2or•, Aggregate Depth:
s sc. ~J7~5-s~~
inches below pipe
inches above pipe
inches total
**If applicable: /under tand the rystem type specibed /s different from the type specified on the application. / accept the specifIcatiom of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re d 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 sub:ctt to ccoomplian ith t the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: % s
Construction Authorization Expiration Date: 5
NTE# O°1-5=5 q-1 Permit # CR
M r»ett County Dep irtlnent of Publie Health
Site Sketch
PROPERTY LOCATON: M~2s ~.a
ISSUED TO: CAJ ~Q SUBDIVISION ~sl~GFo21J LOT # 5`i
Authorized State Agent 2~C~5 ~xvFy~ "Vo>.-VZOO V Date: 1 1
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated.
Proposed Facility c s u~R~N Design Flow (.1949):"V 0
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of wastewater Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
L
1940
I
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
andeaape
Po"oo/
Slope %
Horizon
Depth
(In.)
.1941
Struchaw
TOM"
.1941
Comiatmce
Mineralogy
.1941
Soil
weinew
Color
.1943
Sail
.1936
Sol"
Clan
.1944
Roo
Horiz
Prome
Class
A LTAR
r
S7o
-xs 1149
3
G s
tiS Irk
c,~7
T
v~s1P
~v~•N, unw Repair system Other Factors (.1946):
stem Site Classification (.1948): QS
Available 3 oe .1943 Evaluated ~r
V -T _7 stem Tn*e ) co Site LTAR c Others Present: