IPACHTE# Harnett County Department of Public Health 2 5 5 5 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NualsErL-,i ~
ISSUED T0: K rc~ H ~v r~r,~ a 6S SUBDIVISION W aoo5~~~ct E LOT # T ti'4-
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 q:'D
Proposed Wastewater System Type: Cxj r4,J port t>4_
Projected Daily Flow: GPD
Number of bedrooms: t-'t Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \ OZ!) feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: i ~ Date: ' 5~ 0 `1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua of other permits, the permit holder is respon 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 Improve t 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, .19S4, .1955, .1956, .1951, .1959. 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: Y'k:" N,.s C~ PROPERTY LOCATION: E 1 Q-D
SUBDIVISION \^loaas~~~aE LOT # 0
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ',X No
Type of Wastewater System' ww.1G~-I"CJ" V., L_ (Initial) Wastewater Flow: $O GPD
(See note below, if applicable
Cd 0 A t. (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size x-c7~o gallons Exact length of each trench ~0d feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of a~=~0 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
a inches above pipe
1 inches total
If applicable: /understand the system type specified is different from the type specified on the app/icdtion. / accept the rpecificationr of this permit
Owner/Legal Representative Signatu Date:
This Construction Authorization is subject to revocation if t Ian, 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 subj compliance wi a pr 'o L nd Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: t:. ' Date: `I -1 8`l
Construct Authorization Expiration Date: -1 'A Jyj
HTE# Permit # ~~Ss
ISSUED TO:
Kl-:~
Authorized State Agent:
PROPERTY LOCATON: lAcigsE2y
_ SUBDIVISION o oasH~Q.F. LOT #
q~ ~nL~ v -5oucs~oct~ Date:
L~3
I 4a:
6
Harnett County Department of 11~lblic Health
Site Sketch
1L1~~-Ol~~t-~ p6Z,1uG.
uepartnlant ut cttvnunfnnnt, rlUalUI, allU NdtUidl r%UbUU1VtlD 01 Mut.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot #
File ts:
SOILYSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: \ Date Evaluated:
Proposed Facility: ~'►0a Ha Design Flow (.1949):14V) C,
~ Property Size:
Location of Site:
Property Recorded:
Water Supply: Public [)Individual (J Well (J Spring
[ [Other
Evaluation Method: Auger Boring (j Pit [ [ Cut
Type of Wastewater. Sewage (j Industrial Process (J Mixed
P
R
O
JUIL MUKFHULUGY
OTHER
IF
.1941
PROFILE FACTORS
,.1940
.1942
L
Landscape
Mort=
.1941
.1941
Soii
.1943
i 9W
.11944
Profile
E
Poaftnd
Depth
Sfrud"
Cor""teoos
Webwow
Sol
swo
Re*-
Class
0
SI %
(IN.)
I Texture
wwralogy
color
qd.)
Class
Horis
+Z LTAR
I
L5
o-
s
r'3~
9
s
Description Initial System Repair System Other Factors (.1946): -
Available Space (.1945) Site Classification (.1048): S
System T pe(s) Ce-) ^r Evaluated By: Cr\-
Site LTAR • I
Others Present'