IPACHTE#- Q)`t -s--~(- t Harnett County Department of Public Health 2 5 6 5 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: r'1 a~~.s R.n
ISSUED T0: Y~~, s GcLC.IE- ("4 L SUBDIVISION RsxA F cgrj LOT #
NEW;, REPAIR ❑ E (ANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFfl ly5^'<Sa
Proposed Wastewater System Type: C-o •~..r Eta! ~.e~ Tv p h
Projected Daily Flow: T-2.ZoQ GPD
Number of bedrooms: 3 Number of Occupants: Co max
Basement ❑Yes No
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~K Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan r 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 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, .195k 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: PROPERTY LOCATION: MPQ,-,5 VD
SUBDIVISION Z;'v\ c_FOasa LOT # _6_
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Co r-q-- v0 N t>,L (Initial) Wastewater Flow: GPD
(See note below, if applicable
C.o N y6"M o N P.l . (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size cx7O gallons Exact length of each trench S
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2,x=30
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: Wacia r sNrr cc~M~s~ gE ~~-y ((~~LEPS~ 14 Ft,dr., PLOP
S F.~~G ~YST(c.cv, ~N0 `C~PA~~ ~R~A NLi C~1 ~t,an I 1 < . , ..r~ c.
inches below pipe
Depth: inches above pipe
`t-. to inches total
S~PS~LS4:5 M N,j o
If applicable: / understand the system type specified is different from the type specified on the app&,i#on. / accept the specifications of this permit.
Owner/Legal Representative nature: Date:
This Construction Authorization is subject to revocano e site pla 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 s compliance the ( ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
R-1-.1 Date:
feet Trench Spacing: Feet on Center
Soil Cover t2 ~1 inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Authorization Expiration Date: 8
HTE# Permit # a5(:,,.5
Harnett ('ounty Department of I'ilblic Health
Site Sketch
PROPERTY LOCATON: ~c+a Os~
ISSUED TO: M. ~NG SUBDIVISION P~„~EFOn,~ LOT # a.
Authorized State Agent: @s t-,~ Date: $b~
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOHJSITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code.
Owner:
Applicant:
Address: Date Evaluated:
Proposed Facility 3~', <5--'' "'besii gn Flow (
1949):3~0 P
Location of Site:
.
roperty Size:
Property Recorded:
Water Supply:
bTublic ❑ Individual ❑ Well ❑ Spring
❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
`
Type of Wastewater:
Q} Sewage ❑ Industrial Process ❑ Nfixed
P
R
O
F
SOIL MORPHOLOGY
1 .1940
L Lsn~apa
OTHER
.1941 PROFILE FACTORS
Horizon
E Position/
# Slope %
.1942
Depth .1941 .1941 soil .1943
ft) %mcukrat Conaiate
.1956 ,1944 Profile
nce wetnew soil
Te hire Minmab Color DeELh IN.
sm" pew clams
Clan Horiz & LTAR
a
~.g
46
S ~
Deacri on
Imgal Repair system Other Factors (.1946):
3
AvaiLble ce .1943
s Site Classification (.1948):
System s
Evaluated By: 4 i
Site LTAR
r Others Pre-sent: