IPAC RHTE#Harnett County Department of Public Health 2 5 6 8 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I--ASE'iTEr
ISSUED TO: $P-w:;t~ovNr745asy 'a>vst_~oEa,S \.-Ac_ SUBDIVISION ~W.HS Grv E- LOT # _
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 'V-: D x.55 ^rc110 '
Proposed Wastewater System Type: Cocv«.(G o soAL.
Projected Daily Flow: 3C=~Q GPD
Number of bedrooms: 3 Number of Occupants: C> 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 l0~',) feet Permit valid for. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: A~\ Date: t0~k~41 SEE ATTACHED SITE SKETCH
The issuance of this permit bytheHealth Department in no way guarantees the i ante of o rmits. The permit holder is responsible 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 Bgilding Permit)
The construction and installation requirements of Rules .1950, .1952, .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 TO: ii~) (Li P.,4 ~ oNir4-o" eulLoewl,4 PROPERTY LOCATION: "-SP»\E:2. Q,p
SUBDIVISION W NA _r-1 j-7 G ,vL LOT # aQ
Facility Type: SFoCSS %(!)D New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X % No Basement Fixtures? ❑ Yes AND
Type of Wastewater System** C-0 r~rv er~-A%o sue, p, t-
(Initial) Wastewater Flow: '44;oQ GPD
(See note below, if applicable K
C- o"vE_T"CnNKL. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size ► o(z, d gallons Exact length of each trench 1M feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 21-`~ inches
Pump Requirements: ft. TDH vs.
Conditions: a t~o L~..r~ M jsN Q~i
rN CS H l•.s t T ~a,>_, or,
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
*Is
V~ C)
Trench Spacing: g Feet on Center
Soil Cover: $--14 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a. inches above pipe
~E-S la, inches total
**If applicable: / undew,?,7d the .ryrtem type Jpeci6ed it different from the type specified on the app/ication. / accept the specifications of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization i ct to 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 ism ct to co the isions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: s Date: ►
Construction Authorization Expiration Date:
HTE# Cf1- S- Permit # QL f'V5
Harnett County Department of iblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
13b
Date: `0-' I
~~CA JE"4~O~PI
~,ti►3
5 5,A, 60-
`15
-
w 62ASS
PROPERTY LOCATON: LA~v~t~rZ
_ SUBDIVISION Wr, ~ Q a LOT # a-`1
b
Q
1
Y
E
4.-- ~
a?6
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILJSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3K-germ Design Flow (.1949):54c~
Location of Site: Property Recorded:
Water Supply: tic ❑ Individual ❑ Well
Evaluation Method: rAuger Boring ❑ Pit ❑
Type of Wastewater: wage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
L
1940
Louk
H
SOIL MO
.
RPHOLOGY
1941
THER
PROFILE FACTORS
E
#
e"
Position/
91
Slope 'A
~s
orizon
Depth
(in)
'
.1941
stuateve/
Texk"
.1941
Coosidance
Mineralogy
.1942
Soil
wet "W
Color
1943
sod
Dy6
.1956
Sepro
Clan
.1944
Reatr
Horiz
Profile
Cum
& LTAR
F
a s
►~~ls
~ .;)14
UF2sv51V,p
xepaw byeem Other Factors (.1946):
S at` Site Classification (.1948):? 5
crow Evaluated By: v~
Others Present: