IPACHTE# 09-s-a~~-J Harnett County Department of Public Health 2 5 3 4 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5+Moy TiNGEsy GN
ISSUED TO: J~•MES~ ,~-1sN SUBDIVISION VL,P,-~ LOT # -I ~L
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SrrSJ ~~C x
Proposed Wastewater System Type: Pu rr, tA o C& t4-,r 6PA v cs N Ni-
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: C> max
Basement ❑Yes No
Pump Required: es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1OD feet Permit valid for ><Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the issuanc
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: -7 I I a `I SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
ermit 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: ::1MSs ot~ PROPERTY LOCATION:
SUBDIVISION QWINCE LOT # `1 c1.
Facility Type: 5F~~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes >~-<l No Basement Fixtures? ❑ Yes ~&No
Type of Wastewater System** Qv~p ~o Cany6-~►s1dNDt.• I I W~
(See note below, if applicable
pUtitPF'To
CIc7NVEN,5\0 tvAt-- (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size t0-<n gallons
Exact length of each trench 1'~;0 feet
Pump Tank Size I V<no gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: a.-4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
( mtla ) astewater Flow. GPD
Trench Spacing: Feet on Center
Soil Cover. la, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
~a inches total
"*If applicable: /understand the system type speciTed is different from the type speci>red on the app/ication. / accept the specification of this permit.
Owner/Legal Representative Signature: Date:
This fnmmvtinn duth-i-m- i, A;-
-s - r r-1 6- tilt Wm)oul[I011 eumonzanon snap not oe transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with t sions o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 7 8°t
Co tion Authorization Expiration Date: `1
H T E # Q') - a`b3~1) Permit # 15-,in
Harnett County Department of Public Health
Site ketch
PROPERTY LOCATON: S~+voyr 1 NsE N C~
ISSUED TO: ~Ac~ES ~A.cY~o SUBDIVISION ~i EH
LOT #
Authorized State Agent: ~~w6n -~oL~csOrxt~ Date: -1 1 61
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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:
Proposed Facility: Design Flow (.1949): 360 ~
Location of Site:
Water Supply: Public ( I Individual ( J Well
Evaluation Method: t>~Auger Boring ( ]Pit
Type of Wastewater: .Sewage ( J Industrial Process
Date Evaluated: Cwdc\
Property Size:
Property Recorded:
[ J Spring [ j Other
[ J Cut
(J Mixed
P
R
p
F
SOIL M
ORPHOLOGY
.1941
O
PROFIL
THER
E FACTO
S
1
L
E
.1940
Landscape
Position/
Slope%
L_.5
Horizon
Depth
IN.)
C~ ~
1941
Stricture/
Texture
G 5
.1941
Consistence
Minerak)gy
0~ti
.1942 .
Sol
WetnesN
Color
.1943
Soil
Depth IN.)
.1958
Sapm
Class
.194
Rester
HoriZ
Profile
;
Class
3 LTAR
C
p- 3~
F, S
viz ~s~
Description
Initial System
pair System
Available Space (.1945)
System Type(s)
Psi
c cN
OU,
u~.
Site LTAR
Other Factors (.1946):
Site Classification (.1948): S
Evaluated By:
Others Present: