IPACH T E # o-1 ~4 Harnett County Department of Public Health 2 5 3 3 p
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: \A, LK,AS
ISSUED T0: ~~M ~EvC-rwPcY,~cr'~ SUBDIVISION C, L,~4 a Q5 ,~5 LOT # 5Ct
NEW;( REPAIR EL XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `f ';:O
Proposed Wastewater System Type: Vurl'e\o
Projected Daily Flow: CL O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'KNo
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 \ OCO feet Permit valid for. X Five years
Permit conditions: r~ ❑ No expiration
Authorized State Agent: QS
The issuance of this permit by the Health Department in no way guarantees the iss e
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: C-d~ SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 T0: R Ar., fl-4 , r, _ PROPERTY LOCATION: >~L Lvc v.5 Q9
SUBDIVISION ~AQOLyNP, Q>xc,S LOT # S~_
Facility Type: S~ "`{0J
N5Rr New ❑ Expansion ❑ Repair
Basement? ❑ Yes - No Basement Fixtures? ❑ Yes 'P~ No
Type of Wastewater System" Pu r e 7o C., r--r, \c/N AL (Initial) Wastewater Flow: 3C6 GPD
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size s oa o gallons
Pump Tank Size \ o<A gallons
Pump Requirements: -ft. TDH vs.
1Q C-0 c+yGt":SC F'4NL- (Repair)
Number of trenches t
Exact length of each trench -o feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. ~a-1Lj inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: C~ Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: G"c v GoY? 2 tVe6DIciD oVCrt✓ Aggregate Depth:
ps, ayN~~Gt
inches below pipe
inches above pipe
)a inches total
*If applicable: /understand the system type specified is diNerent from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: _
This Construction Authorization is subj ocato,n if
Construction Authorization is subject to comnliancelruh
Authorized State Agent:
Date:
plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
tsof the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
4S Date: a
Cco ntuction Authorization Expiration Date: c
HTE# Cn-5--A--"Zq4 Permit # 3U
Harnett County Department of 11"liblic Health
Site keteb
PROPERTY LOCATON: V L L-ucAS
ISSUED T0: ~p.K. -L o cK SUBDIYISION C.P.2pL~ p, dRCS LOT # 5"'1
Authorized State Agent (9 1-x vE¢ 1 oLxy~o Date: 1,0q
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILiSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant:
Address:
Date Evaluated:
Proposed Facility:
Design Flow (.1949): _"Ld ~
Property Size:
Location of Site:
Property Recorded:
Water Supply:
Public
(J Individual [ )Well
[ j Spring
Evaluation Method:
Auger Boring
[ I Pit
[ I Cut
Type of Wastewater:
Sewage
[ I Industrial Process
(j Mixed
P
R
( I Other
o
SOIL MORPHOLOGY
OTHER
F
.1941
PROFILE FACTORS
1
.1940
.1942
L
Landscape
Horizon
.1941
.1941
_
SON
.1943
1956
1944'
profile
,
E
Position/
Depth
Structure/
Consistence
Wetness!'
Solt
SaM
Re*
Class
Slope%
IN.)
Texture
MineraloGy
Color
De IN.)
Class
Horiz
3 LTAR
LS
d
- s t,
j
/0
-,5 e
14
~ > L. vFrz,~l~t
Description
Initial S stem
Repair System
Available Space (.1945)
System Type(s)
L; -Ne7
C.0"- i
~V
Site LTAR
L
Other Factors (.1946): _
Site Classification (.1948):
Evaluated By: C,'\
Others Present:
P,
.I