IPACHTE# p`) -5--a)
Harnett County Department of Public Health 2 5 3 0 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: H. , "01
ISSUED T0: ~~~~~n s m L SUBDIVISION Se E:-,, c,~- to , l LOT # l
NEW ❑ REPAIR ❑ EXPANSIONS Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 11x, sw~ 9LV o~rvC~ SEA ~c~o~~1b^1PL ~O ,fs 5~;~ ~cEiG 1
Proposed Wastewater System Type: \ a Cewcs~~~c v to L
Projected Daily Flow: `ab GPD
Number of bedrooms: Number of Occupants: -1 c max
Basement ❑Yes No
Pump Require&*es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 Chi feet
Permit conditions:
Permit valid for.
X Five years
❑ No expiration
Authorized State Agent:: 1 2S
The issuance of this permit by the Health Department in no way guarantees the iss
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit-
Date: 31x7 16 r1 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vle Went Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 T0: --~~~~s`~ ~ ~~r✓ PROPERTY LOCATION: H`wy4OlN
SUBDIVISION SP t~E Mr LL \ 4s ) . A2~~ LOT # ~tj_
Facility Type: Q 1 L~o Nsv ❑ New X Expansion ❑ Repair
Basement? ❑ Yes --Pl, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Qv Me To ~,~~E~J;~oNAV (Initial) Wastewater Flow: GPD
(See note below, if applicable
P
S
~,r,r,p 1a
~
~a ~E~vL,~orS (Repair)
Installation Requirements/Conditions
Number of trenches a
Septic Tank Size '-x 31 - gallons
Exact length of each trench I
Pump Tank Size sr6 gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of- 1'I -30
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
feet Trench Spacing: Feet on Center
Soil Cover: 1`b inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
~xG~r. inches below pipe
S, Aggregate Depth:
Conditions: ~o~~, C~~S~L ~E c
inches above pipe
I inches total
**If applicable: / understand the system type speciled is different from the type speciled on the app/ication. / accept the specijcationr of this permit.
Owner/Legal Representative Signature: Date:
uuteu auuu it me ate mn, pias, or me mtenaeo use cnanges. ine lonstrucnon Aumonzanon shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is su ct o compliance t ons the. Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 a1 01
Construc w Authorization Expiration Date: 2`1
HTE# Q a) b6) Permit # c~ 530,-~,
Harnett (votnlty Depailinent of Public Health.
Site Sketch
ISSUED TO:
Authorized State Agent: PROPERTY LOCATON: H,"-j
SUBDIVISION SeEnGC C'11~~ Ivy ~AQ~ LOT # fit}
(o, }o~ scx~c~Date:
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Division of Environmenta
l Health
.
Property ID:
On-site Wastewater Section
Lot
File
SOIL/SITE EVALUATION
Code:
for ON-SITE WAST
EWATER SYSTEM
Owner. ~xP~ s~o v t o
1 O La0 C,4 T cFL
Applicant:
Address:
Date Evaluated:
Proposed Facility:
Design Flow (.1949): QA o
Property Size:
Location of Site:
Property Recorded:
Water Supply:
Y-~Public
Individual Well
Spring
[ j Other
Evaluation Method:
],Auger Boring
[ J Pit
Type of Wastewater:
;r,_ Sewage
[ ] Indus
trial Process
[ j Cut
Mixed
P
R
o
SOIL MORPHOLOGY
OTHER:
F
.1941
PROFILE
FACTORS
.1940
1942
L Landscape Horizon 1941
E PositlonJ, Depth Structure/"
1941
'Consisten
Sod ,
1943 .1956 .1944
profile
# Slope96 (IN.)
Texture
oe
Mineralogy
Wetness! °
Color'; De
Soft": 9apta' Resit;
th, Cl
s
t
Cl`*
p
a
s
ioriz ,
& L.TAR j
f S~ro
P5~
y-
3
Description
Initial System
Re it System
Available Space (.1945)
System Type(s)
jk~:°I-?60 vvmp
Site LTAR
6
Other Factors (.1946): _
Site Classification (.1948):
Evaluated By: `3
Others Present: -