IPACHTE# o~-say-~aa, Harnett County Department of Public Health 2 5 6 7 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -Ty t4 GSA 'Q z
ISSUED T0: g s C~o.a~ kQcrE,g SUBDIVISION PDcRON s Q(i N tt!~ LOT # LO C7
NEW,; REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: e"PO
Proposed Wastewater System Type: IN c~e"S'o Co avE,'r«o N V*'_
Projected Daily Flow: 3/d(n GPD
Number of bedrooms: 3 Number of Occupants: ~b max
Basement ❑Yes XNo
Pump Required:,,Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well L_ LQQ) feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: q-- _ Date: `t 1 x-109 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t ance of other permits. The permit holderl' is respo Bible 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, .1955. 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: ?D s L-1- C-4- Vs2-,L 0m PROPERTY LOCATION:
SUBDIVISION 9o lC0 as 01rql LOT # TO
Facility Type: 5 -D New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes ",k No
Type of Wastewater System' P u )e To C-'J'yEcv S b N k(- (Initial) Wastewater Flow: GPD
(See note below, if applicable
v -,e o~ C.0,wLr,TC~o tvr~ (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size 0 O C) gallons Exact length of each trench S~ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: NG inches
Maximum Trench Depth of. 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
C1 inches below pipe
Aggregate Depth: inches above pipe
Conditions: W w-Ec>✓ t-i. t r`~v 10 a `Atia 4' acLcs O 7 SEPS~~ Shyers E~ ~o Sa inches total
U'S ~L iii S ~Pt,~ E^~~{ZF7PL-\A bN ~~~y,~ tN\'S~AI._ d okXA Nn-U- *
If applicable: /understand the rystem type speciled is different from the type speciled on the application. / accept the .rpecificationr of this permit.
Owner/legal Representative Signature: Date:
of his transferred when hre is a change in
the shall not be
for Sewage Changes.
Construction Authorization ais subject tocomp a w`h r me site plan, the intended
ATTACHED eSIsite. This
T Treatment and Disposal o and Authorization
TE SKETCH
Authorized State Agent: (LS Date: q d~
lc uction Authorization Expiration Date: °1 as
HTE# Permit # ~5C'10
Harnett County Department of Publics Health
Site Sketch
PROPERTY LOCATON: ~tis~ (.E,4
ISSUED TO: i L i -Re,.~ cam . SUBDIVISION f oc1z'o Ns LOT # 11~0
Authorized State Agent: O~ ~v '~b O Date:
2.3`1
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
()caner. Applicant:
Address: Date Evaluated:`'
Proposed Facility:? O£"*m v,a-(Design Flow (.1949):
Location of Site: Property Size:
Property Recorded:
Water Supply: Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater. Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
L
1940
L
d
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
ar
ecape
Pabifion/
Slope
Haman
Depth
(in.)
.1941
Shuck"
Taxwre
.1941
Consiiatence
Minmlo
.1942
Soil
webmw
Color
.1943
Soil
Dw& IN.
.1956
Sapro
Clan
.1944
Refs
Hariz
Profile
Clan
& LTAR
~-ta
P r1
e5
Y~
5CZ
~Q SS/
Description Tlnitia!
5 xS~`r~ ~Q
Otha Factors (.1946):
Site Classification (.1948): P 5
Evaluated By: o
Others Present: