IPAC RHTE# o9-s=a"5aV, Harnett County Department of Public Health 2 5 6 7 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M,cq~-~p~„t _n gyp
NEUED T0: ~iasc~i L~Et2S ~HG SUBDIVISION H
~ o~ Qc)%Z LOT # _
REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S FO (z►o 'Q0
Proposed Wastewater System Type: '44354.
Projected Daily Flow: 34, 0 GPD
Number of bedrooms:
3 Number of Occupants: max
Basement ❑Yes
-5< No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 104 feet
Permit conditions: \
Permit valid for. X Five years
❑ No expiration
Authorized State Agent: ?,f HS- Date: =.0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ance of other permits. The permit hol er is r sponsible 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, AM, .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 T0: PROPERTY LOCATION: M+u~co-x,,,u2
Facility Type: 5;FQ SUBDIVISION 9o0S IPbN yz LOT #
New ❑ Expansion ❑ Repair
Basement? ❑ Yes
No Basement Fixtures? ❑Yes No
1-711,
Type of Wastewater System** U+--sa sHauo~,,, 4S"/,, RE,~c~tlN SySt~,,~ (Initial) Wastewater flow: ,b GIRD
(See note below, if applicable
~t_~apsN,ouA` ~O ~EovcstoNSvs;~tn (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size ►o p o gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench a•~4 feet Trench Spacing: Feet on Center
Trenches shall be installed on contour at a Soil Cover: ~o inches - eovW.. 'Av'5s SE
Maximum Trench Depth of: 12, inches (Maximum soil cover shall not exceegd "VCi:N\ ►N
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions: VJA:EA„ U--F- nusT 6~_ 10'..057'c SEp-~sG SyS ~~,,1 ppro t MP2 Etiu4SP"-\j inches total
~N ~w,Ksgs. OcZ ?P~CL~4E~P..~v+~s e 646En ON 1Rne w. ~noM 1~GR S-L Co , U67R"
*`It applicable: /understand the system type specified is different from the type specified on the application. / accept the rpecidcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is sable 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 subject to complian he p ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: R E?ls - Date: 9 o
nstruction Authorization Expiration Date: 1
HTE# Permit #
Harnett County Department of Yl blic Health
Site S ketch
PROPERTY LOCATON: ~~cAa~o~t V4~1
ISSUED T0: ~avcvc~ gu~~ a( L SUBDIVISION ' --ySom5 Po,r< LOT
Authorized State Agent: Q~~S~o~~vecz'r-E--4soo~ Date:
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P. pE REPAIR
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[Public [ I Individual
Vf'AugerBoring
[ wage
JI ICCI.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated: V7/"
Property Size:
Property Recorded:
[ ] Well [ j Spring [ I Other
[ ] Pit [ ] Cut
[ ] Industrial Process Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E'
#
.1940
Landscape
PositioN
S
lope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Minefalogy
4942;,
Soil
Wetness!`
Color
,',.1943
' - Soil ;
Depth (IN.)
-.1956•
Sapro
Class
.1944'
r Restr
Horiz
Profile ,
Class,
& LTAR
r
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a -7
G JS
C~
I
~l t 0
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`
cr ~S
O'er ItIf,
7~
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r sCr
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1r
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Description Initial System Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: