IPAC RHTE# a~~5-~~53R Harnett County Department of Public Health 25661
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: E.L AC`s-
ISSUED TO: H O V4 ELL Ea V,, ate p S SUBDIVISION _GDRt~,.,►G LOT #
NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 Fq C(-0 ;'-t 0"
Proposed Wastewater System Type: 2E.oud4 10 0
Projected Daily Flow: 36O GPD
Number of bedrooms: Number of Occupants: JC;, max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1.00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: V~~~ Date: I d`~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holler is r sponsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plak 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 TO: ~o~rc21. ~wQCLOS PROPERTY LOCATION: C s ~yEL ~~AC-kQ,p
scfl l+<o'~ SUBDIVISION GATEw LOT # ~
Facility Type: LtQD , New ❑ Expansion ❑ Repair
Basement? ❑ Yes 24 No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System* (Initial) Wastewater Flow: 3~4 GPD
(See note below, if applicable
P~~+•e-C6 aS°~o Qom. S75-y~.h (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1 OUCH gallons Exact length of each trench 304 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: fo inches
Maximum Trench Depth of: 1`~ 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
(onditions: u~SE a- Li a n j ~ ~ Pc;. E )i~ VQ0., ~yy pa'V' 0'
P c L O, fi~2 UI t LI S S E5 nl,-, NQ: 1-a0A,11A C1., V,,,,
Depth: inches above pipe
inches total
**If applicable: /understand the system type specilled is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to rev~thesite 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 ct to complianLaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 8
Constru ion Authorization Expiration Date:
HTE# Permit # aa:;6 I
Harnett County Depailment of 1-~tblic Health
Site Sketch
PROPERTY LOCATON: LE1,uF.a-
ISSUED TO: ~ow ~9~lR" SUBDIVISION Gx:Ewc-S-\ LOT # a.~
Authorized State Agent: Date: '2k)~O~
)3;~'
{LAW) 'J
NHS
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Ut!PcfI11 11VI It UI C1 IV If UI III IGI it, I ICdltl 1, d11U IVdtUldl 1\CDUUIt,CJ
Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address: \
Proposed Facility: 3 e~r__tkx~ m } vp Design Flow(. 1949): 3 40 IS)
Location of Site:
JI ICCt.
Property ID:
Lot
File
Code:
Applicant:
Water Supply. `KPumc I I Individual [ J Well
Evaluation Method: "Auger Boring [ ]Pit
Type of Wastewater. Sewage [ I Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ ] Spring
[ J Cut
[ j Mixed
[ I Other
P
"
R
O
SOIL
MORPHOLOGY'
OTHER
f ~Y
.1941
PROFILE FACTORS"
.
I
194A
1942
'
l .
L'
~
Landscape
P
Horiiort
1941
,1941
So►F "
.''.1943
19561
4 ' 1944`
Profile
:
osition/
Sto
%
Depth'
Structure/
Consistence'
WetnessP Soli; Saps'
Resti
Class
`
pe
1~,)
Texturc
Mineral ,
Color
Depth (IN.) Glass
f, Horn
1i LTAR
~
stela
C)
=`3 _z
F~~
04
t
`f3 tic ,c_
5"0- sf'
o
Ic r a`
- L-
/
t
-ft -7
.3
Description
Initial System
pair System
Available Space (.1945)
System Type(s)
OLs% QICJo
P s r~
Site LTAR
Other Factors(. 1946): _
Site Classification (.1948): V5
Evaluated By:
Others Present