IPACHTE# o'~ -~-►a~ Harnett County Department of Public Health 2 5 6 5 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
~ocoG~
ISSUED T0: t~or.,ac4'g~s~r,y SUBDIVISION LOT #
NEW, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 cVO
Proposed Wastewater System Type: C-- "-i EA--< \d
Projected Daily Flow: y~t0 GPD
Number of bedrooms: y Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well ~f74 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: ~Q-S Date: B ~3 0 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther 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: ~tFocs ~~N OC(11C} r t t~r,~ PROPERTY LOCATION: c
sJG~ '49
SUBDIVISION
LOT #
Facility Type: `~F03~~`1J New ❑ Ex
ansion ❑ R
i
p
epa
r
Basement? ❑ Yes No Basement fixtures? ❑ Yes "KNo
Type of Wastewater System** _C- ---J " tie=
(Initial) Wastewater Flow: c'tZ Q GPD
(See note below, if applicable
C-0 is ~ Ej~d N- F,%U (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size LC2 ,:3o gallons Exact length of each trench feet
q
Trench Spacing: f Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover inches
Maximum Trench Depth of: M 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
Aggregate Depth: d inches above pipe
Conditions: W +~~~R-V N MyE l Ems. ~b ~rao
inches total
~ , `
57=~~~G~y5S6on~. (~LZ `)-1"&2 l - IL~C Nsm N" 9,C' y~
Q) ~tJ~~ CAC iS C)C-' L suT
**If applicable: /understand the system type specified is different from the type specified on the app/ication. l accept the speciflwions of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject aeon if the i< '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 suIL-1110 compliancewit ovisio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: J\ 'L~11 Date:
ction Authorization Expiration Date:
HTE# Qc) 0-~r- Permit # `a-5(- 51
Harnett County Department of Public Health
k ite ketch
PROPERTY LOCATON: Ko c ,,o-y-
- T0:, ocrs ~dN t~C~o- SUBDIVISION LOT #
Authorized State Agent: S (.0 LiV &L -10 Date: R~ 31~ 4 ~1
Iao
I cc 3.46a~.n
I Qup,~a, t
3
333'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Proposed Faculty: om~ Design Flow (.1949): t
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Anger 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
#
Landge"
Position/
Slope 'A
1-3
Horizon
Depth
(]n)
1
.1941
Structure/
Tcxk"
.1941
Consistence
Mimmlo
.1942
Soil
wetness/
Color
.1943
Soil
.1936
Sapro
Clan
.1944
Restr
Horiz
Profile
Class
& LTAR
1
5-`7
G
S
vin 147:11yA
5g sc~
~2 ~~1 P
Iola 76v-3'i'
P5
3L~
S~~t 5CL
~fL
E6~?r7~~ 33
~LA
In" Repair system Other Factors (.1946).-
System Site Classification (.1948): e
Available Spu* .1943
By: eY
System jh*s) Evaluated
Site LTAR , ~i Others Present: