IPAC RHTE# (:'l Harnett County Department of Public Health 2 5 3 2 2
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: 'J %sC-f2_-) (7 9
ISSUED TO: AC.)CC L 6MC ~NG SUBDIVISION Wa0\Qr-- LOT #
NEW'V REPAIR ❑ '_~XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c~$ n Proposed Wastewater System T~pe: (7~O~ €Ee r~~C1t4 NL_
Projected Daily Flow: _-~>C-O GPD
Number of bedrooms: _311- Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No A May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community _X Public ❑ Well Distance from well N Y) feet Permit valid for. Five years
Permit conditions: ~ ~ ❑ No expiration
Authorized State Agent:: = Date: \ "I, 0CA SEE ATTACHED SITE SKETCH
Be issuance of this permit by the Health Department in no way guarantees the issuance of othe permits. The permit holder i respo sible 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, .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: Cl-i- DEC ~*t L PROPERTY LOCATION:
SUBDIVISION ~o AIa-C LOT # 1Tf
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes _~K No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Cc, N NCs N P' L_
(See note below, if applicable
Pv fv~\ o
C-6 tJ \JCJI~Nd rt ix C (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size I ~ECl gallons
Exact length of each trench T
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 4
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
(Initial) Wastewater Flow: _60 GPD
feet Trench Spacing: Feet on Center
Soil Cover. 1 inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions:
`~s~,~s Psz..~ ~AsFx~ Qac,?~~a-sue ~uC A~,~~,,
inches below pipe
inches above pipe
I inches total
"*If applicable: l understand the system type pecifed is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
nuu-.- - a me v d+ ar, or me mtenaea use cnanges. the tonstrucnon nutnonzation snali not be transferred when there is a change in ownership of the site. This
Construction Authorzatonct to compliance wprov 4u~ Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ~w
Construction uthorization Expiration Date:
HTE# Permit # 53a
Harnett Conut;,yr I)epa lment of Public Health
V i to Sketch
PROPERTY LOCATON: ~ ysFa=)
ISSUED T0: ~t✓4~.c ~~Z LEA rh lit SUBDIVISION \t4 c- c>sr~N(?-(-. _ LOT #
(QL\y C n ~dzKs Date: 1 4 °I
1%/
~ 3b
v~coi.
Division of Environmental Health Property ID:
On-site Wastewater Section
Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow(1949):3E0
Property Size:
Location of Site: Property Recorded:
Water Supply: Public [ j Individual [ j Well [ j Spring [ J Other
Evaluation Method: Auger Boring [ j Pit [ j Cut
Type of Wastewater: Sewage [ j Industrial Process [ j Mixed
P
R t
O SOIL MORPHOLOGY OTHER
F
IF A941 PROFILE'FACTORS:
i :1944 .1942.
L Landscape Horizon 19411, 1941 Sort .1943 , 1958 .1944 Profile
E Position/, Depth Structure! Consistence Wetness/ SON'.- Sapp' Restr~ Cfase
# Slope% IN.)' Texture Mineral Color
[iepth' IN.) Class ~lorit - &ITAR
t
L 5
C1
G C_.S
Vfa, N75
S
C
VM ~sl►
s
Description
Initial stem
epair System
Available Space (1945)
System Type(s)
Site LTAR
• y
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: