IPACHTE# o\-s-- as Harnett County Department of Public Health 2 5 5 8 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NGa~N-4
ISSUED TO: ~-L-C_ SUBDIVISION Pdy-r: LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: s~c~Cy~ xSd~
Proposed Wastewater System Type: p011~\o Cv 6;-\ \C) "J
Projected Daily flow: 3/oU GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ;S( No
Pump Required: 'Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1~, Public ❑ Well Distance from well l OC feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Q _h Date: I 'i-1 _ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e issu of other permits. The permit holder is res onsible 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, .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 T0: ROnEScaCShA L..t.L, PROPERTY LOCATION: NGa7 W
SUBDIVISION TtJGE,j Po ii ISM LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ es R No
Type of Wastewater System' PUt•nt ~crc~\ n rv (Initial) Wastewater Flow: 3~0 GPD
(See note below, if applicable
~YW76 -sld ~c Crp,,f (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size tchoo gallons Exact length of each trench q"6 feet Trench Spacing: cl Feet on Center
Pump Tank Size 100 o gallons Trenches shall be installed on contour at a Soil Cover inches
Maximum Trench Depth of: inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
c~ Aggregate Depth: inches above pipe
Conditions: ~1-isSQCozr,~~ Gc~ ON ~~aoPO5A4_ `tc~m ~WVL.N•
Sd inches total
'"*If applicable: /understand the system type specified if different from the type .rpeci~ed an the app/ication. /accept the jpeci6cationr of this permit.
Owner/Legal Representative Signature: Date:
TA:. r_..........:__ _7 ...1
u-< yinn, plIm, V1 Lift nntnueu mt umnges. uie consurucnon Rumonzauon snan not De transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance a io the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RS Date: '81 1
Authorization Expiration Date:
HTE# Cfl- C,O Permit # c
Harnett County Department of v-tmic Health
Site Sketch
PROPERTV LOCATON `^J
ISSUED TO: ~cnFSt `LF~r~
\A-0 LL C,
SUBDIVISION rg G
Po ~,-T LOT #
Authorized State Agent:
-~r-LY-500r*
Date:
Puc^R
1 Tp
as°ib ISO
i? uzm (L
14,
16^A {a. ?ATE
D
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Ovlm4A D(Lwe-
uepartmttnt ui ctivuunrnent, ntrdutr, diw wdtutdo Meauuttea ofleert.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot 4:
File
SOILSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant:
Address:
Proposed Facility: 3R.6ktpaS"N\'10 0, E_
Design Flow (.1949): -4,40a
Location of Site:
Water Supply: Public
(J individual (j Well
Evaluation Method: uger Boring
Pit
Type of Wastewater ,3ewage
Industrial Process
R
o
SOIL MORPHOLOGY
F
.1941
1
.1940
L
Landwcape
Horizon
.1941
.1941
E
PooftW
Depth
Struct"
Consistence
I:
0
S %
(IN.) I
Texture
mir"Off
I
I6-~
SBk. ~sU..
rrn.. sS~S.A
y I \.--X--3 It' ~k scL
Description Initial Systerr
Available Space (.1945)
V/
System T pe(s)
Site LTAR
Date Evaluated:
Property Size:
Property Recorded:
Spring
(j Cut
( ) Mixed
OTHER
PROFILE FACTORS
.1942
.956 194•t
Web" Sapre r Resft
Sod :a[clus
color ' , Horis
1.®.•
-1 )
,a..-4 S V%4
q11 S ee wy -~i.> cv , 3 , .
Repair System Other Factors (.1946): -
Site Classification (.1048): Q~
Evaluated By:
I I Other
lase . '
LTAR
IF .5
'3S
f5
,3,57