IPACHTE# o~-s-ass Harnett County Department of Public Health 2 5 5 8 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: MPNL~S. Q-D
ISSUED T0: ~Jy) SUBDIVISION p►StaE~cfoA LOT # 190
NEW REPAI~❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~ 3°S'n5~-
Proposed Wastewater System Type: CoYVV6c rcroc~r~,"r.
Projected Daily Flow: 3(6 0 GPD
Number of bedrooms: 3 Number of Occupants: ~o max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No 'X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well LOO feet k Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 9 5 Date: 81, 111 1(n 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 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 Improve Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Bgilding Permit)
The construction and installation requirements of Rules .1950, .1952, 1954, .1955, .1956, .1951, .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: PROPERTY LOCATION: PQ--'L s, 'QZ
SUBDIVISION Xs)A6_VOtZV LOT # 2Q)
Facility Type: SF's New ❑ Expansion ❑ Repair
Basement? ❑ Yes No ((Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** ~--ON-4 C-- s o N N_ (Initial) Wastewater Flow: 36o GPD
(See note below, if applicable
`-0NAF_NM\01'1 AL- (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size I c50o gallons Exact length of each trench -IS feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 14 - a.$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: cT Feet on Center
Soil Cover $ - ) A( inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
a inches above pipe
a- inches total
**If applicable: / understand the system type fpecired if different from the type specified on the application. / accept the fpecilcationf of this permit
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to revocauo a site Ian, 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 su t compliance the the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: i3 13 Oct
Con ction Authorization Expiration Date: 8
HTE# 0-j-5--4Z,S65 Permit # ~:SS$3
Harnett (county I)epartment of Permit
Health
Site 'Sketch
ISSUED TO: PROPERTY LOCATON: N} P~ Pa
e'er- SUBDIVISION Ptsr~6~cxzs~
LOT #
Authorized State Agent:
~p~~vE¢ ioLysw(~ p
Date: B t X31
M pays
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)Ivision of Environmental Health Property 10:
On-site Wastewater Section Lot #
Fib
SOILrSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: 3 QeDQ."4N >ux\E Design Flow (.1949):
Location of Site:
Water Supply: Public I J individual I J Well
Evaluation Method: uger Boring Pit
Type of Wastewater. [ ewage [ [ industrial Process
Date Evaluated:
Property Size:
Property Recorded:
I J Spring
[ [ Cut
( J Mixed
I I Other
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Posltlo V
S 9i
Horizon
Depth
IN.
.1941
SbuctwW
Texture
.1941
Consisterroe
PAMI~VFV
.1942
Sod
Wsbtew
Color
.1941
Sol
Depth N.)
i 9M
841"
Cte"
.194 '
I Rests'
Hods
P, ,
Cis"
a LTAR
Description
Initial S st m
alr system
Available Space (.1945)
System T pe(s)
C.U N
W j
Other Factors (.1948):
Site Ciassiflcatlan (.1948): 3
Evaluated By:(29
n e.