IPACHTE#O°S -S=a- LA Harnett County Department of Public Health 2 5 5 9 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n t PROPERTY LOCATION: M-Y OL C'. o0-c."A V 'P
ISSUED T0: F~yc.oc~i \ Nl n1f SUBDIVISION LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: t`rlo0u-P a_ (yhr. ~
Proposed Wastewater System Type: 9,0 .v v6. tz ~O tv o. L
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 4 Public ❑ Well Distance from well t 00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 001 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i7su~rw of other permits. The permit holder is 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 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, .1957, .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: McZ LLNP%-4 ,"ICic)cL' APROPERTY LOCATION: Qt-N14UZ. GAvc-'< ~
SUBDIVISION LOT #
Facility Type: No v LA,CL L"0CX4.SD New ❑ Expansion ❑ Repair
Basement? ❑ Yes 45, No Basement Fixtures? ❑ Yes ~KNo
Type of Wastewater System** C-0'-J-J e :y ri"P'L., (Initial) Wastewater Flow: L4Ab GPD
(See note below, if applicable
2..S17e ?1,F_flvyc\0 r J (Repair)
Installation Requirements/Conditions Number of trenches L)i
Septic Tank Size V00 d gallons Exact length of each trench lQ 4 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: -_-1 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: Cinches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
Sa inches total
**If applicable: / understand the syrtem type specified /s different from the type specified on the app/ication. / accept the fpecipcationr of this permit.
Owner/Legal Representative Signature:
Date:
This Construction Authorization is s o revocation if the site 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
Construction Authorization is ;tw to comp e r n of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: B a 0eA
Authorization Expiration Date:
HTE# Cf) Permit #
Harnett County Department of 1'ltblic Health
Site Sketch
PROPERTY LOCATON: fnj O-.-cE. C.~,VCLGH R.h
ISSUED TO: L11 GQ-~ iR~.rn SUBDIVISION LOT #
Authorized State Agent: R-5 ~t-wC~L ~OL~v Date:
aa~ 30`t ~
-.31
~aJ
ily
Department of Environtnent, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: ~x4Y3xo~xra rE Design Flow 1949):1-V
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texmm
.1941
Consistence
mineralogy
.1942
Soil
wetnem/
Color
.1943
Soil
IN.
-Depth
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Clan
& LTAR
t
~S
`'Y
~-3~
~
Ps `t
3~
s l Y
is y~ `t @,
C3
s L
vS~ u
Description
Initial
Sst
Repair System
Other Factors (.1946):
P 5
Site Cl
ifi
ti
194
Available
S ce .1943
ass
ca
on
8):
E
S stem Type(s)
Cra ,J
valuated B
Site LTAR
,y
o,ruv., \
Others Present: