IPACHTE# ~oHarnett County Department of Public Health 2 6 0 3 2
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: ~~PCxyc. R.oko
ISSUED TO: MP2* Nw~,9J- SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S P'Q L G.5 ~ 116 Q
Proposed Wastewater System Type: Pv th P-Te y t.'~2A5laPl tbw N~ E, r~a0"PL-
Projected Daily Flow: '~10 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes kNo
Pump Required:,Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from wellt~ feet
Permit conditions:
Permit valid for. 'Five years
❑ No expiration
Authorized State Agent:: Date: _S I 3 ~1O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the nce of other permits. The permit hol r is sponsible 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 Imp ovement 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: Maw ` \ys ~y ~A~ t >a4.- PROPERTY LOCATION: C-~-Ram 9-D
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Pv~Td 1~ saa~i>~tu~v ~s.,vCrs tore A 1~t~A;E£ (Initial) Wastewater Flow: 34 C) GPD
(See note below, if applicable
Q v M A o y L:T,2-P,--41Au0 +i Co 1, , (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size 1000 gallons Exact length of each trench 1Q0 feet Trench Spacing: Qt. Feet on Center
Pump Tank Size `00d gallons Trenches shall be installed on contour at a Soil Cover: Go inches
Maximum Trench Depth of: 11A inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. 3p GPM inches below pipe
Aggregate Depth: `Z inches above pipe
Conditions: Iyl.r~~rwm oc C, nc C0"'Ei covE.rt, on.FvK'P ti&o- VN a CRvs i~E Ib inches total
C~~M ~JFR~\!i Sys-ccs~ . ~A^sp+~~C. SPf-s:.s ~ a~ Pa.~5W2E Ia ~,D, 2,„scH L►o P~Pf:, ~a Scr~ yALJ>S
If applicable: /understand the ryrtem type rpeci(ed is di/ferent from the type specified on the app/ication. / accept the .specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to i th ei~ a 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 sto complianctt the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 5 13 Kin
Cons ion Authorization Expiration Date:
HTE Permit # a ~O3 a
Harnett (county Department of FOublic Health
Site ketch
PROPERTY LOCATON: C-1- $-,L-c. Vs
ISSUED T0: M~<t-~ t ah,c-► ~p+2~Gsz SUBDIVISION LOT #
Authorized State Agent: Date: 5 3~
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot 0:
SOIUSITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Add"= Date Evaluata. L~ 1 ,0~ D
Proposed Facility; ' E3~Do , Design Flow (.1949r 3 Property Size:
Location of Site: Froperty Recorded:
Wate;t S`u
!iX ZP
bhc
pp
u
❑ Individual ❑ Well ❑ SPng
❑ Other
Evaluation Method: 0 Auger Boring ❑ Pit cut
'
Type of Waslawater.
ET- Sewage ❑ Industrial Process Nflxe>d
P
R
O
P 30IL MORPHOL00Y O
THER
1 .1940 .1941 PROFU FACTORS
L [andeoape Horizon
B Positianl Depth .1941 .1941 soli .1443
M 310" % 00 ftw t w Con d4m webmw
_
.1956 .19" pmfild
soil
TeMnre Mitmelo Color iN.
3epro Re* CIeM
Elan Hods. Ai LTAR
j
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V_X_. 58rz C, -10
Dmaipdoa 1nitW Repeir system Other Factors (.1946)
9 °t
Site ClasOmdon (.1948x ?e?
,~veilebb 9 a .194!
3 ,brn • PEA vrnP~ EvehmtedB)rp 1
Site LTAR Others Preset
FILE Al
COMMENN:
t 1NRQCA POSffIONB
GROUP
TEXTURES
.1955 LT
CONSISTENCE M01
R-RIDGE
1
S-SAND
1.2-0.1
&SHOUL.DER SLOPE
LS-LOAMY SAND
VFR VERY FRIABLE
NS-NON-STICKY
L.-LMAR SLOPE
FR-t'RIABLE
SS-SUGHTY STICKY
FS-FOOT SLOPE
It
SL-SANDY LOAM
0.3-0.6
FI-F1RMt
S-STTCILr"
74-NOSE SLOPE
GLOOM
VFI-VERY FIRM
VS-VE~ 3TICAY;
H IIEAD SLOPE
EPI-B?CCItEMELY FIRM
NP-NOM-Pi,ARR4,.,
CC-CONCLAVE SLOPE
IQ
81.SELT
0.6 - 03
SP-SLIOMY STIL`XY
CV-CONVEX SLOPE
SIL-SQ.T LOAM
MW491Z~ t~G
P-PLAST 16
T-TERRACE
CL-CLAY LOAM
Vt VE1kY r Asm,
FP-FLOOD PLAN
SCL-SANDY CLAY LOAM
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IV
SIC-SILTY CLAY
0.4-0.1
C-CLAY
SC
SANDY CLAY
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