IPACH T E # Qn-5- 2. Harnett County Department of Public Health 25341
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-EnvEL. B i-kcac. z
ISSUED TO: N°N F~ Eowa+,cto5 SUBDIVISION _ Gw,-%-,,,e:~si LOT # 1'i?
NEW REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S VD `J5 ~ S o
Proposed Wastewater System Type: Pu rte 'Tc x-m
Projected Daily Flow: 9S b GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required:114Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for 'teFive years
Permit conditions: ❑ No expiration
Authorized State Agent: Qs
The issuance of this permit by the Health Department in no way guarantees the is e
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: G11.°1ID° SEE ATTACHED SITE SKETCH
of other permits. The permit holler is re ponsible for checking with appropriate governing bodies in meeting their requirements. This
Yemeni 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 TO: 4av EJ-L- E-s wP,a~s PROPERTY LOCATION: LX-N•U62-
g,-pc.c
~ SUBDIVISION G ortE.,rc LOT # ►cZ
Facility Type: SF~ ~SS '~~O New ❑ Expansion ❑ Repair
Basement? ❑ Yes 54, No Basement Fixture/s? ❑ Yes X No
Type of Wastewater System** 9uM4'~a `a5°Ca Rep \ o,1 SySKE~ (Initial) Wastewater Flow: 4'060 GPD
(See note below, if applicable
1--Q$
(Repair)
Installation Requirements/Conditions
Number of trenches 4
Septic Tank Size ►oo o gallons
Exact length of each trench 100 feet
Pump Tank Size goo d gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. aLl inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Trench Spacing: n Feet on Center
Soil Cover: 1Il. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
Conditions: k im-f 51JPPLy L r4C-- ~aor,P~,~~ cy 7- SE'11c, V--11-11, inches total
' -'~Ac \ ` \
**If applicable: / understand the syrtem type specified is different from the type specified on the application. / accept the fpeciTcvionf oh this permit,
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to ref6Zatio~e site plan, plat, or the intended use changes. The Construction Authorization shall not he tmndarrad who. th- i, a rh-- in --hi „r tie a. Mt
Construction Authorization is su "ect to compliance w4kthe trt o fag,hws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: U Date:
SEE ATTACHED SITE SKETCH
Constrtln Authorization Expiration Date: z S~k
HTE# 4°t Permit # '4 1
Harnett County I)epailinent of 1"ablic Health
Site ketch
PROPERTY LOCATON:_ L-r~UeL
ISSUED TO: Now "-I- Eo o SUBDIVISION Go,-vL-4 L~ LOT #
Authorized State Agent: WL~vCs~<oLvon02 Date: a`i l0y
536
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot #
File
SOIUSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant:
Address:
Date Evaluated:
Proposed Facility: y ~~c~oor•.aa~aE.
\
Design Flow (.1949): LV6aj e(~
Property Size:
Location of Site:
Property Recorded:
Water Supply:
'Public
Individual Well
[ J Spring
Evaluation Method:
Auger Boring
[ ] Pit
[ [ Cut
Type of Wastewater:
'r-ewage
industrial Process
(j Mixed
[ J Other
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
1E
.1940
Landscape
Position/
SI 96
Horlmn
Depth
(IN.)
.1941
Structure/
I Texture
.1941
Consistence
Mko
.1x2
Soli
Wetnesst
Color
.1943
Sol
Depth IN.
193E
Saps
) Class
.19"
t Restr
Hain I
profile
Class
& LTAR
Description Initial System Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946): _
Site Classification (.1948):
Evaluated By: Q\
Others Present:
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