IPACHTE# 0-1 Harnett County Department of Public Health
Improvement Permit
25592
A building permit cannot be issued with only an Improvement Permit
is PROPERTY LOCATION: P~NoesLOSb, Qn
ISSUED T0: ~~ssoN , ~om.e oo. SUBDIVISION LOT #
NEW E APR ►R ❑ EXPANSIO ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Me,or. 1-kc "-z (ZA
Proposed Wastewater System Type: Pv-w y6 S111S~E-
Projected Daily Flow: 3 C O _ GPD
Number of bedrooms:- Number of Occupants: max
Basement ❑Yes N No
Pump Requiredryes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well _-tO _ feet Permit valid for. '4< Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: - :N~~t , Date: a*% 10 01 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the usu of other permits. The permit holder is esponsible 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: ~taLS~o~, PROPERTY LOCATION: P.Norrr~w5~
SUBDIVISION ESS~~cat C2 LOT # 10
Facility Type: ~1 na .o r"C lr~ lQ% New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System- Pv rv,Q `b a S°1a 9-EOt0--N\0 N Sal s~E~ (Initial) Wastewater flow: 3(0 GPD
(See note below, if applicable
eucr+e -Vo Ul~czPS,ao.~ -"t Cp "i (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ►oo a gallons
Pump Tank Size v BOO gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench aad feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. I $ inches
(Trench bottoms shall be level to +1-114"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
-if applicable: /understand the system type specified is different from the type specified on the application. / accept the speci6cationr of thin permit
Owner/Legal Representative Signature:
This Construction Authorization is subject to I
Construction Authorization is subject to comnlianrb:
Authorized State Agent:
Date:
plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: :N
Authorization Expiration Date: LY]
HTE# Permit # a 555.
Harnett County Department of 1'~rblicr Health
Site Sketch
t PROPERTY LOCATON: PoNoE.Q05q\ 4
ISSUED TO: 'W01 1:5r-A E-0 0NC- oa SUBDIVISION LOT #
Authorized State Agent: ~t~Lw fiL~: bOQ~ Date: 8 Q l
S63-
Ext.
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vision of Environmental Health
n-site Wastewater Section
SOILISITE EVALUATION
[or 0-4-SITE WASTEWATER SYSTEM
Owner:
Address:
3roposed Facility: Design Flow (.1949):
Location of Site:
Water Supply: [ J Public [ I Individual
Evaluation Method: 14-Auger Boring
Type of Wastewater. I ie^'age,
P
R SOIL MORPHOLOGY
0 .1941
F
1
.1940
L
Landscape
Horlm
1941
E
POSWW
DWM
S
•
S '111
IN.
Texture
_ zL
S~
sc,
Z s ~6
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r3- Z
3 4-119
1-1
C
.1941
Consistence
f 1
v
'7-3~ S3xISC~ r 1"
26 5-14)(,( I .-f-
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~ v ~ ~ sgx. c
JI Itltl1.
Property ID:
Lot #
File
Code:
Applicant:
p ,el
[ ]Pit
( I Industrial Process
Date Evaluated:l d/'Q 9
Property Size:
Property Recorded:
(1 Spring Other
( ) Cut
( ) Mixed
O
THER
PROFIL
E FACTO
RS
.1942
S0i
.1943
An .19"
.
ProfBe .
Wetrre P
Sots
S" Restlr
Clore
Color
Do* IN.
Cis" Horis
a LTAR
t
~a /
V0yg7))
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Description
Initial System
Repair System
Other Factors (.1946):
Site Classification (.1948): (P
Available Space (.1945)
2A 1
2'L•(LA)
a
Evaluated By: G~
,