IPACHTE#oJ-5-a=y Harnett County Department of Public Health 2 5 6 7 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: Cv r'%06;g"Pa^t0 'Aoc•,C.s \rt c_ SUBDIVISION N1 ~2E $R.fa,, u LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 ';r OG '-1`S
Proposed Wastewater System Type: 36°/o. P-~~UC,-c~oa Synfr•,
Projected Daily Flow: GPD (Number of bedrooms: 3) Number of Occupants: lc max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X, Public ❑ Well Distance from well kb0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agenc: Date: e!' SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t ante of other permits. The permit holler is re 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 TO: Cunt za.+o Nomge, \r c_ PROPERTY LOCATION. V13 C,,)--7'4
SUBDIVISION n ,e.tr e a pw'o\ LOT # -(,-5
Facility Type: SFp Lct9~'~S 0 X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~K No Basement Fixtures? ❑ Yes V-" No
Type of Wastewater System**°/ouccsoc., SyS i~M (Initial) Wastewater Flow: 'A0 GPD
(See note below, if applicable
U~cnosN.~ur.. 1~..oycCcweSys +r•~ Pune (Repair)
Installation Requirements/Conditions Number of trenches L~
Septic Tank Size 10ocJ gallons Exact length of each trench 5O feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: ti<? 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: inches above pipe
Conditions: \,44V--*- t-a N E pl 85- 6z 10r ay~-- s ws~,T te- 5,115'rf- n o t L, s cep ~f inches total
C.~Gf2..UD.~y OK `N ~-v 1P.L 00'--. earr.+~(Z
**It applicable: / understand the system type specified it dill A 7 from the type rpeciCed on the app/ication. / accept the tpeci,rcationr of thin permit
Owner/Legal Representative Signature: Date:
Thi, r...-&i.. dnrh..~,~rl,.~ i. L_
- - _ - -1-1 -11 r-, r- - - -411g- ..r Lon,uucuon numonzanon snan not oe transferred when there is a change in ownership of the site. This
Construction Authorization is subject to complian ray of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Ns Date: 9 2 a, 01
Construction Authorization Expiration Date: " as l
HTE#
ISSUED T0: C
Authorized State Agent:
Permit # ~5(,,71 3
County Department of 11~ blic Health
Site Sketch
PROPERTY LOCATON: NGaOW
SUBDIVISION LOT # 65
NM -YOLY-SQO Date:
1%1
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 1177~C
Address: Date Evaluated: ~
Proposed F3cWty'3 Design Flow (.1949): 314 Etc)
Location of Site: Property Recorded:
Water Supply: 6~)ublic ❑ Individual ❑ Well
Evaluation Method: Auger 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
L
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
~
Lampe
Position/
Slope %
s `t°td
Horizon
Depth
(In.)
d~ L-1
.1941
Structure/
Texture
6 5
.1941
Consistence
minors lo
V F~ N 3~ ^tQ
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Clw
LTAR
Y~.
G a~,
G 5
vim-
o-
tat Vn
1~-d~ ~4~z-se.~
~
v~
1 tea...
G G S
v5 Ns~t
ia3 SRt~(rL
J
Description
Available 9
Site LTAR
Initial Repair System Other Factors (.1946):
cc .1945 S st Site Classification (.1948): Q 5
a a v Nam v, , Evaluated By: C5
Others Present:
i 1S`d
@. 1g