IPACHTE# C "5'--0, f~ Harnett County Department of Public Health 2 5 4 9 4
Improvement Permit
A building permit cannot be issued with only an Improvement Per rt
PROPERTY LOCATION: Ir0.5EQ
ISSUED TO: 'E `f 2s+c sow t ~v ~~t s `cs<- SUBDIVISION LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 V'S7
Proposed Wastewater System Type: ~~~1~ ~EDUG~~oN Sys
Projected Daily Flow: `-1 O GPD
Number of bedrooms: 4' Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well loo feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: 94 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holler 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, .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:EQI~F~ PROPERTY LOCATION: L-F'a~cs,CE- R~
II SUBDIVISION W A~N~ G~syG LOT #
Facility Type: Sic 1X`'~b r New ❑ Expansion ❑ Repair
Basement? ❑ Yes '5~1, No Basement Fixtures? ❑ Yes ~<No
Type of Wastewater System** L) 0tj S JS-\ Lx-, (Initial) Wastewater Flow: L~qd GPD
(See note below, if applicable
w Nth \o (Repair)
Installation Requirements/Conditions Number of trenches .4.
Septic Tank Size 1 0 (50 gallons Exact length of each trench X) a feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shali be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: l`Z 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. GPM inches below pipe
Conditions:
Aggregate Depth:
inches above pipe
inches total
**If applicable: / understand the ryftem type specified is different from the type ,rpecired on the app/ication. / accept the .rpecidcationr of this permm
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject-cation if t site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownership of the site. This
Construction Authorization is subject to compliaryt, ith t! 33s the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: - ~w Q Date: Ckjr
Constru ion Authorization Expiration Date:
HTE# 00~-5--.DV~ , Permit # 245494
Harnett County I)epa lment of Public Health
Site Sketch
PROPERTY LOCATON: l-ASp,,, Zc
ISSUED T0: t= ~ e ~U1 ING SUBDIVISION GRryC- LOT #
Authorized State Agent: L& Date:
13)e
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w~r~c~9 mom- D~
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apartment of Environment, Health, and Natural Resources
vision of Environmental Health
i-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
oposed Facility:
cation of Site:
ater Supply:
ratuation Method:
ape of Wastewater:
Sheet:
Property ID:
Lot
File
Code:
Applicant:
Design Flow (.1949):
[ ] Public [ ] Individual
[ ] Auger Boring
[ ] Sewage
Date Evaluated:
Property Size:
Property Recorded:
[ ] Spring
[ ] Cut
[ ] Mixed
[ ] Other
y
-SOIL MORPHOLOGY.;
1941
-OTHER-
PROFILE FACTORS
,
.1940
.
Landscape
Position/
Slope%~
Horizon
ne5th
1941
Structure/
Texture
1941
t n- t n~
i❑:
.1942
Sail
Wetness/
Color
9943
Soil
Depth (IN.)
1956
Sapro
~J~ss
.:1944
Restr
H^r7
Profile'
Class
<AR
jQ
6D iS... LN.L
C> 3H
G 5
K ~c~('
P~
59,I<
Lk
G~'G✓
1
[ ] Well
[ J Pit
[ J Industrial Process
r
E
Description
Initial ystem
R air System
available Space (.1945)
system Type(s)
r ~u~V
p 3 . q
rite LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: