IPACHTE# Oqw Z1 q/-L- Harnett County Department of Public Health 2 5 6 3 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
t~ PROPERTY LOCATION:
o~ ~Qad
ISSUED TO- _ K8 C e~ct , TnC . SUBDIVISION 6Q ~ Foi,~,r LOT # ~
NEW L REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -~-F I (.0
Proposed Wastewater System Type: , 5"& .1?xJ-c, - cra CV TTC.L
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes t+~ CO-
Pump Required: ❑Yes ❑ No P"MMaa be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L f Public ❑ Well Distance from well feet Permit valid for. ive years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: V/ ?Z2 oo y SEE ATTACHED SITE SKETCH
The issuance of this permit by t 'Health Department in no way guarantees the issuance 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 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 payout.
ISSUED T0: 11..13 C /`c,,ef rZ4C PROPERTY LOCATI N:
SUBDIVISION K l LOT # -7-?
Facility Type: -5 D P'New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: 4 GPD
(See note below, if applicable
',-r~0 L2e4.4"o~ f~-- r-~ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 4d a gallons Exact length of each trench 5-~I feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /8 -30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: 9 Feet on Center
Soil Cover: G° /6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
J ~j Aggregate Depth:
Conditions: Q
~~e t`,~c c k o 0 L v p cu t fr D t
inches below pipe
inches above pipe
inches total
'*If applicable: /under tand the system type specified is different from the type specib'ed on the application. / accept the spec&Wionr of this permit
Owner/Legal Representative Signature: Date:
° J <v g L„_ W61b P °ti V1 Ulr uncuueu me changes. 1ne sanstruaion numonzanon span not be transterred when there is a change in ownership of the site. This
tonstrucnon Authorization is subject to complia e with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
E-- Authorized State Ageny~ Date: d 9 ~a
Construction Authorization Expiration Date: o e
HTE# -3`r ZL ►12- Permit # r7 r(.3 2
Harnett t vountyT Depailment of M blic Health
Sitv- Sketch
PROPERTY LOCATON:
ISSUED TO: C ~QN-prr ~~c SUBDIVISION erg G LOT # 7-7
Authorized State Agenh c Date:
lei
t
/7e
T~~f
4
IU ~
IU
#Lye-
r
~J
P~p
17c/
r- A C, C,,rd
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSiTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Ap
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
plicant:
Date Evaluated:
Design Flow (.1949):
Property Recorded:
❑ Public ❑ Individual ❑ Well
❑ Auger Boring ❑ Pit ❑
❑ Sewage ❑ industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
L mulac"
Po"on/
Slope %
Horizon
Death
(In.)
.1941
Structure/
Texure
.1941
Consistence
Mineralogy
.1942
Soil
wetnew
Color
.1943
soil
DW& (IN.
.1956
Sapro
Class
.1944
ReAr
Horiz
Profile
Class
& LIAR
lr<4
jv- fff
-y
c I4r
,
Description
Initial
s 'ten'
Repair System
Other Factors (.1946):
Site Cla
if
ti
1948
~f
Available Space .1945
ss
ica
on
y
stem ime(s)
Evaluated By.
Site LTAR
. 1
C
Others Present: