IPACFITE# o 9lao Harnett County Department of Public Health 2 5 6 9 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit nn
PROPERTY LOCATION: ~u2o to t ~`~U
ISSUED T0:P~rsG~ t_sL~!~) \tiG SUBDIVISION _PPMONS pa\>\r. SS LOT # 582.
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
ct0'~60~
Type of Structure: c3 VC)
Proposed Wastewater System Type: 21,91, 4,wci o>,3
Sys~EM
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement Dyes No
Pump Required: DYes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1 Public ❑ Well Distance from well ►Ob feet Permit valid for Five years
Permit conditions: ` ❑ No expiration
Authorized State Agent: t-k~ Date: 10l ~10q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss of other permits. 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 Improve nt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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: Q3v it-06Q5 1NC_ PROPERTY LOCATION- N~vGC2a~csw~ra_ 9-0
SUBDIVISION Pa.`"~tys LOT # 1~.
Facility Type: S "OD( 6r~~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes '1~ No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** '~L~l' ~cpucxtd ri S~5 cwt, (Initial) Wastewater Flow: GPD
(See note below, if applicable
Flo
Installation Requirements/Conditions
Septic Tank Size 1 0Od gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
~ote-,~.N Sy~~
Number of trenches 1
Exact length of each trench t S~ feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Q~4-3C; inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
wa.t~ f-~NE M~10~rrcLor~, S tc. AS~ regate Depth: inches above pipe
Conditions:
T inches total
'-o AG, O ti , N T \A L Olt.- ga? A\ a--
**If applicable: / understand the system type specified is different from the type specified on the app/icwt fl. / accept the tpecilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to- cation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there Ic a rhnnua in n--hin nr rho 6t. Thi<
Construction Authorization is subje t to compliant ith
Authorized State Agent.
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Trench Spacing: Feet on Center
Soil Cover: la 2'{ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
R Date: 14 6t<
ruc in Authorization Expiration Date: vo
1
SEE ATTACHED SITE SKETCH
HTE# Oct`~~ Permit #
ISSUED TO:
Authorized State Agent:
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON: fl +CC \ o1+C- n,
SUBDIVISION Qa,-Rar~s po~nr[ -,t- LOT # S7~-
'rouLiDo Date: 14` 6~ d~(
aPa 1Q
~ AQ,~A 1
I
~p Fx1A0
Sao
0
V
E
X56'
ZUMPrnHt.-~6a- 0ou re
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOILISITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: to),61& t
Proposed Facility: sgcacM Design Flow (.1949): 3(,0:X11 Location of Site: Property Recorded:rtY Size:
Water Supply: Public ❑ Individual ❑ Well ❑ Sprung ❑ other
Evaluation Method: Auger goring ❑ Pit ❑ Cent
Type of Wastewater: Sewage ❑ Industrial Process ❑ nixed
P
R
O
F SOIL MORPHOLOGY OTHER
1 .1940 .1941 PROFILE FACTORS
L I wdsospe Haim .1941
E Positlm/ Depth .1941 .1941 Soil .1943 .1936
* Slope % (la) swwhnw Comiten" weft"/ Soil
T@Xk" Minwalo Color Sal"
3 Date j Clw
~ -fib C7 5 t_ Vim- ►Ji ~N~
cripdon Initial Repsir System Other Factors (.1946):
i)aMaS .1943 n Site Classification (.1948r 5,
Evaltiated
tun $ s /c
LTAR 6 Others Present:
I x }so
- Gz-t N
.1944 promo
R*W Claw
Hans # LTA
S ~G
.4