IPACH T E # Qcl Harnett County Department of Public Health 2 5 4 6 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~t,ES~A~S 9-9
ISSUED TO: SUBDIVISION Ent LOT # 25
NEW'X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S Vp (_'i~ s tLi 67
Proposed Wastewater System Type: Co r4 AL
Projected Daily Flow: Lt-2 0 GPD
Number of bedrooms: l-i Number of Occupants: S max
Basement ❑Yes 7XNo
Pump Required: ❑Yes '?~,No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well SQO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 51 N:)A Oq SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department it no way guarantees the issuaslce-0 o permits. The permit holler is for checking with appropriate governing bodies in meeting their requirements. This
esp
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement it 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: ~~~TQEy ~oo c-
Facility Type: A New
Basement? ❑ Yes <N No Basement Fixtures? ❑ Yes
Type of Wastewater System** Ca N vF nr: \.O N P.,
PROPERTY LOCATION: ~P,r.cs ~2't
SUBDIVISION E-ac.A e01 _~N LOT # 5
❑ Expansion ❑ Repair
No
(See note below, if applicable
C°N`~<F``d (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size IOOC'1 gallons Exact length of each trench LOO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a,4 -30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
(Initial) Wastewater Flow: 4N(0 GPD
Trench Spacing: cl feet on Center
Soil Cover 1).->1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Aggregate Depth: Q~ inches above pipe
inches total
**If applicable: / understand the ystem type specified is different from the type specified on the app/ication. / accept the rpecificationJ of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subj f the site pla , at, 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 subject to compliance witff~ke~rov ' thec~and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 5
Constructio uthorization Expiration Date:
HTE# O"1-~-~,1g65 Permit # a5'iC~
Harnett County Department of lli blic Health
Site Sketch
PROPERTY LOCATON: ~Acri,S- `p9--t ~o
ISSUED T0: Q E pops= SUBDIVISION Eon 2 tai LOT # S
Authorized State Agent: QS (ouvESZ -soL(~ Date: 5 la d~
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTENI
Owner:
Address:
Proposed Facility: Lk g6)QoA~ Design Flow(. 1949): 4,703
Location of Site:
S
unto I.
Property ID:
Lot
File
Code:
Applicant:
Water uppiy. 'P I Pubilc Individual [ I Well
Evaluation Method: -r%Auger Boring [ j Pit
Type of Wastewater: 'NSewage [ j Industrial Process
Date Evaluated: 5[ o )4ti
Property Size:
Property Recorded:
[ I Spring [ ] Other
( j Cut
(J Mixed
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER.
PROFILE FACTORS:
L
E
#
Landscape
Position/,
Siope9t;
Horizon
Depth
IN.)'
.1941 .1941
Structure/ Consistence '
Texture Mineral 09y I
.1942
So' .
Wetness/ L-
Color
'
1943
- SoN ~
depth IN.)
.1956 , 1944`
Sa ;
Pte' Restr'
' -Class ~todi
Profile
Class
& ITAR
t
Ls
p-
s
vr~t ~►s2
-4b
5E3V_ s(-4-
i-V
Z--
'56 ALL
t1 ss(~
-
25
Description
Initial System
Repair System
Available Space (.1945)
L/
System Type(s)
sr
~o C4
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: Y'S'
Others Present: D