IPACHTE# o°) -s- og Harnett County Department of Public Health 25561
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 141 i _41l
ISSUED TO: YrtK Cos c2.uc.~\oa SUBDIVISION - P4(, .r Qott-TT LOT # -
NEWK REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S f (5 ) "x4- J
Proposed Wastewater System Type: Gorcvei-i sve N
Projected Daily Flow: 3 (.b GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No eX May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t b0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
r--mss--
The issuance of this permit by the Health Department in no way guarantees the issua
site is subject to revocation if the site plan, plat, or the intended use changes. The Impro
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 1 1 Opt SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
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, AM, .1951, .195& 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: YaN C-ON'Er4 ur-A sb,.r
PROPERTY LOCATION: N--y 2~1
SUBDIVISION LOT # 3
Facility Type: ScS3 `'Z s I' ~`_1 D X New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes f No
Type of Wastewater System** C-0N V 6cy C ~p rI AL- (Initial) Wastewater Flow: 3C0 GPD
(See note below, if applicable
Co r+v 6rr-cNo"c t - (Repair)
Installation Requirements/Conditions Number of trenches Lt
Septic Tank Size tiooo gallons Exact length of each trench SC) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a"-3b 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 f inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a inches above pipe
inches total
**If applicable: / understand the system type specified /s different from the type specified on the app/ication. / accept the specidcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site pj` plat, 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 subject to compliance vtx~t ions j r'_ Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Q Date: -71 A
Constr n Authorization Expiration Date: 1
HTE# Permit # _ a,SSro I
Harnett County Department of Public Health
~vite ~=+ketch
PROPERTY LOCATON: ~Awy a'l
ISSUED T0:1r NH Ccz,u L~ q N SUBDIVISION `ri -r- E,,,.,, po LOT # 2)
Authorized State Agente~\~~ ¢s ~e~~•, ~oLKsoc7Ct~ p L 4
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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: 'S
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater.
5IEA ~.p Design Flow (.1949): 34a~)
Public [ J Individual (J Well
Auger Boring [ j Pit
Sewage Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
( ) Spring
[ j Cut
[ j Mixed
[ I Other
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
if
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structurel
I Texture
.1941
Consistence
Mineralogy
.1942
Sol
Wetnesst
Color
.1943
SON
Depth IN.)
.1986
Sapre
Class
.19"
Restr
Horiz
I
Profile ;
Class
& LTAR
Q-141
c 5
a
0 _-~a
G
ra, ~zs
t
Description
Initial System
R air System
Available Space (.1945)
System Type(s)
C a~
Z6*j
Site LTAR
1
4
Other Factors (.1946):
1r
Site Classification (.1948):
Evaluated By: 6
J
Others Present: