IPACHTE# Harnett County Department of Public Health 2 5 6 7 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: f`1 s t_~o w Q
ISSUED TO: Sti-TE2~C-R c COQ/ SUBDIVISION ~Lcyc~t i i6ca,~yN4_ Q-s--, LOT # I ~
NEW X REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: tn p+4 • 1i ""C L- ~S6
Proposed Wastewater System Type: ❑o-E : ~o rt p,l
Projected Daily Flow: 36O GPD
Number of bedrooms: 3 Number of Occupants: 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 E (Q feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:
The issuance of this permit by the Health Department in no way guarantee is nce
site is subject to revocation if the site plan, plat, or the intended use changes. The r
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.`
Date: g~a31~9 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
gment Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: StaE~1~c-P V~1cCt~7 PROPERTY LOCATION:
SUBDIVISION ~rao~ i-irya~L LOT # I Cc,
Facility Type: New ❑ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? El Yesj No
Type of Wastewater System** CONv "oX'J'~ ♦ dw N 1.._ (Initial) Wastewater Flow: GIRD
(See note below, if applicable
C,O NVE_ t, 0A-4 L (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10 no gallons Exact length of each trench b feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: --.c_ 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: h. TDH vs. GPM inches below pipe
Aggregate Depth: a inches above pipe
Conditions: inches total
*If applicable: /understand the sy stem type pec
Ifled it differeflt from the type fpeciled on the app/ication. /accept the rpeciTcationr of thif permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject t t 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
Lonstruction Authonzation is sub ct to compliance w t Vi of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~ f ps Date: cl
Istruction Authorization Expiration Date:
HTE# Q`joS `)ZZ5L Permit # a56`7
Harnett County Depar(inent of Public Health
Site Sketch
ISSUED TO:
M /I
PROPERTY LOCATON: r1 ~L'So~ \4E.zcw ~'G
SUBDIVISION K-tou.s"gy, F-n- . LOT #
~L~yF~ '~~L~.SGao2f Date: ~1 I t
Authorized State Agent:
A
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Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
On-Site Wastewater Section
Lot
SOHJSTTE EVALUATION
File
Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: `~4a
Proposed
3~o c
~ Property Size:
~
L,ocation of Site: 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 SOIL MORPHOLOGY
1
1940
OTHER
.
.1941 PROFILE FACTORS
L Landscape Horizon
.1942
E Position/ Depth .1941 .1941 soil
# Slope % (In.) Shuchull Comisteace web
w
.1943 .1936 .1944
Profile
m
Teaduro Mimnb Color
sod Sn" ReW
-Depth
IN. Class Honz
Ch=
& LTAR
t 7-\6
!Z5 bc
sgY. -.-L
Va s1
~S
3~3`-u3 G SL.
Y - Ns
~a3s C.
~3~ vin
5$k SC-L- C-..Q-
fEEE
p5
S
Description Initial Repair system Other Factors (.1946):
S st Site Classification (.194ar P5
Available S ce .1941
S
ytem , a Evaluated
By: tr~
Site LTAR CS S Others Presen