IPACHTE#'Zyl o6 I Harnett County Department of Public Health 25481
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: eo En o5 a
ISSUED T0: ~rng LA~+O 1r~ocnE~ 1tiL SUBDIVISION CP wi, N Sss.soN P„ LOT # Q-
NEW14 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF fl ~L'A "1-1)
Proposed Wastewater System Type: C. )"-41~ . U rr v.L
Projected Daily Flow: b GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes '6 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community `K Public ❑ Well Distance from well 1 Ob feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: - Date: S);)-v 10 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o er permits. The permit holder is responsible 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, .1951, .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: Gv M(l f o a D ~~b tag G PROPERTY LOCATION: P6 aoj~s\ Q p
SUBDIVISION LOT # (N
Facility Type: C" O~11°1~ x4-1 X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~i,/ No
Type of Wastewater System** Cri P4 vc-t wt-3t-, L (Initial) Wastewater Flow: L'1i`9d GPD
(See note below, if applicable
Co N"rt~rJ'S\o r4
Installation Requirements/Conditions
Septic Tank Size 1 cc) a gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
pair)
Number of trenches
Exact length of each trench 1oc~
Trenches shall be installed on contour at a
Maximum Trench Depth of: Irl.i-A-36
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover la 1~ inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / anderrtand the fyrtem type .rpecired it different from the type rpecified on the app&,ulon. / accept the fpec16c3tionr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the siVian, 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 su ct to compliance v?~r t~gytovi To- s~ the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: . \ ~ Date: 9>>-i10
SEE ATTACHED SITE SKETCH
ction Authorization Expiration Date: T 1~
HTE# Q~1-S- 06 ~ Permit # a.S~~b 1
Harnett County Del ailment of 1'i-tblic Health
Site Sketch
PROPERTY LOCATON: Po NoEn.aS,. R9
ISSUED T0: r~ Est i- 1aME S r.L SUBDIVISION P-14 LOT
Authorized State Agent,:oucsa~stp Date: 5 a1 d~--
r
Lop
/~to NR~
~A1~ /
WUXI
D
W ~
Ut:.POI LI I1o1 I1. VI CI IV I I UI II I ICI It, "tCdILI 1, dIIU IVdlUI di RCJUUII:CJ JI ICl71.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant:
Address:
Proposed Facility: L~ (1th ~
Design Flow(. 1949): 1-110
Location of Site:
Water Supply:
Public
Individual [ ] Well
Evaluation Method:
Auger Boring
[ ] Pit
Type of Wastewater:
Xsewage
[ J Industrial Process
Date Evaluated:
}a~~oq
Property Size:
Property Recorded:
Spring [ ] Other
( ] Cut
[ ) Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil ,
Depth (W.)
1956
Sapro
Class
1944'
Restr
Horir
Profile
Class .
8L LTAR
1-5
S
t1 4V5~
S
v2l
Description
Initial stem
epair System
Available Space (.1945)
\j
V
System Type(s)
cU,3
Site LTAR
Other Factors (.1946): _
Site Classification (.1948):5
Evaluated By:
Others Present: 1
a,tid~ G aziy
-3 d