IPACHTE#0c7)i Harnett County Department of Public Health 2 5 4 8 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: U-^0'E-L Bt p cY Q
ISSUED TO: OAS <2UGSCsCl C. SUBDIVISION Faces, Or~tis Q~~3 LOT # S`b
NEW, 1 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5~fl (,L4ti' -"6)
Proposed Wastewater System Type: ~vL r ~"rl P, L
Projected Daily Flow: 'fib GPD
Number of bedrooms: tJ Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well E O Q feet
Permit conditions:
Permit valid for: "X Five years
❑ No expiration
Authorized State Agent:: _ ~ R Date: C ~-;A 0'A SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f other permits. The permit holde'r is p 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 Improvem tt 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, .1957, .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: 1 CO I UCA-1~1 2~' ~"v G PROPERTY LOCATION: L-~,iE L- V, Qg
Facility Type: ':3 V-~) \ C
Basement? ❑ Yes ~K No Basement Fixtures?
Type of Wastewater System" C-0 x0 ~
SUBDIVISION Fcfit=~ C)P ~S Q~ 3 LOT # 139
New ❑ Expansion ❑ Repair
❑ Yes ~,No
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size t b~ gallons Exact length of each trench a~ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ~R inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: `~6 C7 GPD
Trench Spacing: Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
C, inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization 'is; subject tc rev if the site Ian, 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 eto complianceheLaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: \ R Date:
Const ion Authorization Expiration Date:
HTE# M-S' a C) Permit # S }
Harnett ConntyT 1)epa lment of lliiblic health
Site Sketch.
PROPERTY LOCATON: Lr--".vE-L
ISSUED T0: ~U spa v Ucu C~ SUBDIVISION FoczC_sT LOT
Authorized State Agent: ~S~¢~wErz 1OLx5fl0 Date: 101 /
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: L.t Q.S c A- t} r_,E Design Flow (.1949): 49Q,~
Location of Site:
rove.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: ublic [ j Individual [ J Well
Evaluation Method: Auger Boring [ ] Pit
Type of Wastewater: Sewage [ j Industrial Process
Date Evaluated: 51a,"1)
Property Size:
Property Recorded:
(j Spring (J Other
[ J Cut
[ J Mixed
P
R
O
F
-
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
,.1940
Landscape
Pos9ioN .
Slope%
Horizon
Depth
IN.)
1941
Structure/ `
Textures
11941
,Consistence
Mineralogy
1942 ,
S0
V1iefr►esah r;
Cotor ,
1943
SoN:, .
IMP60N.)
;
1958 1,1944
5apra Resfr;
Glass Horiz;-
rofile f _
Cf
& LTAR
o
G S
v~1>vt
~ S
v fn ~~rrp
y7~St"
g
~..slN
TWA.
Description
Initial Sys em
pair System
Available Space (.1945)
System Type(s)
Cara
9 g=6 QZ_
Site LTAR
Other Factors (.1946):
Site Classification (.1948): 5
Evaluated By:
Others Present: