IPACHTE# o9-s 2 tea- Harnett County Department of Public Health 2 5 3 4 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Ow OS4'O
ISSUED TO: t~rc'`µ MM NN C.5 SUBDIVISION ~s 'Mck'.14- Sctp, LOT # 1
NEW,X REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SAPS
Proposed Wastewater System TyQ~e: ~o.vy~.TC~Otvp
Projected Daily Flow: Llr%g GPD
Number of bedrooms: - Ly Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 1'01-5 Date: rg- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance other permits. The permit holder 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, .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: NGT~ ~yt~M~nst.S PROPERTY LOCATION: Q -p OS LYaA
Facility Type: S `cS`b~
Basement? ❑ Yes '1< No
Type of Wastewater System"
(See note below, if applicable
SUBDIVISION ReYs 1`1cBap~C- LOT #
New ❑ Expansion ❑ Repair
Basement Fixtures? ❑ Yes XNo
.Jo v.rv E.-^ \ a w, 7.,L
, Nv E.~ No NFL (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size l o acs gallons Exact length of each trench 4 a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 2~0 'a(o inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
(Initial) Wastewater Flow: 4-7b GPD
Trench Spacing: 9 Feet on Center
Soil Cover: 0 8"1'4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
a inches below pipe
a inches above pipe
inches total
-If applicable: / understand the tyrtem type specified is different from the type specified on the app1icition. / accept the specif1Utiona of thin permit.
Owner/Legal Representat ture: Date:
This Construction Authorization is subject to revocation i Ian, t 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 is su t t ompliance wr pro t e and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: r6 Date: 6 3 6 'nc1 _
Construction thorization Expiration Date: 0 14
HTE# 0`1 -5- Permit # QkS3liS`
Harnett county Department of 1~tblic Health
Site Sketch
PROPERTY LOCATON: Oro 1SS~~ 1
ISSUED T0: SUBDIVISION Rs~~ C~c~ 'ibcu~E LOT #
Authorized State Agent: ~S bLwC~ 'SoLKSF Date: .30 Cj
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Division of Environmental Health
On-site Wastewater Section
SOMSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM[
Owner:
Address:
Proposed Facility: tj bEVQkj~j. SiCN Design Flow (.1949): LtZ~c
Location of Site:
JI leet.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public [ ] Individual (j Well
Evaluation Method: `JeAuger Boring (j Pit
Type of Wastewater: -14 Sewage [ j Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring
(j Cut
[ J Mixed
[ I Other
P
R
0
F
SOIL M
ORPHOLOGY
.1941
O
PROFIL
THER
E FACTO
S
1
L
E
0
I
.1940
Landscape
Position/
Slope%
LS
Horizon
Depth
IN.)
p 1D
.1941
Stricture/
Texture
6 L~
.1941
Consistence
Mlirwralogy
V 1v~~~►{'
1942
Sol
Wetness/'
Color
.1943
Solt
Depth IN.)
.1956
Sapro
Ctass
.1944
Restr
Horiz
Pmfila ,
Class
6 LTAFt
O~
"dl°
-a
f
c~ ~5
ti~,~ z a~"
n~-36
say
-5s
-i 2
G Ls
t
V Fft- 1A -J~
Q5
f~ '10
53~~ su-
~c1, -s SP
5
cr~a'
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P5
Description
Initial ystem
R pair System
Available Space (.1945)
System Type(s)
c v
Cc
Site LTAR
~
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: c7`~
Others Present:
a ~.acs~2i .