IPACHTE# oa -5- ~ s~, Harnett County Department of Public Health 2 5 5 9 8
improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: ~E ry ~t=y r~ ~ PROPERTY LOCATION: Hwy 1}
``-bQR SUBDIVISION Nmt,v-a5 C saocs~s
NEW REPAIR El EXPANSION LOT #
Type of Structure: . kpsc,C (Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type. _D, 0 0 Ue_V~ s STErA
Projected Daily Flow: !JSQ GIRD
Number of bedrooms: Number of Occupants.
Basement ❑Yes No max
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 1 t
Permit conditions: --0feet Permit valid for. Five years
❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guaran e
site is subject to revocation if the site plan, plat, or the intended use changes.
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this
=1~5 Date: t cti _ SEE ATTACHED SITE SKETCH
issuance of other permits. The permit holde is res onsible far checking with appropriate governing bodies in meeting their requirements. This
Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
per" 17L.
Construction Authorization
(Required for Building Permit
The construction and installation requirements of Rules 1950, with the attached system layout .1952, .1954, 1955, .1956, AM, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
ISSUED TO: ~IA r (:--00-e PROPERTY LOCATION: y
Facility Type: SUBDIVISION NaoutzE~ C.ct.o~ ,.tin 5 LOT #
''1Arv
New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'EZ No Basement Fixtures? ❑ Yes -1~4 No
Type of Wastewater System'' -rls °1~~auC~Cw,
(See note below, if applicable (Initial) Wastewater flow: 4`i30 GPD
~~ld A~vcx.c~,`, G,~ s4\ (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size 10 gallons Exact length of each trench
Pump Tank Size gallons ~d feet Trench Spacing: ~ Feet on Center
g Trenches shall be installed on contour at a Soil Cover: to-1Q inches
Maximum Trench Depth of., stir-3fl inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1_114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs, GPM
inches below pipe
Conditions: ` Aggregate Depth: inches above pipe
S ~EA~ N C- S 5 r` N o UN Ltr{5
A 1C C2~AC~A'~ d r ~•a~T\ol_.,~ Ds, Inches total
**If applicable: / understand the system type specified is different from the type specified on the application, / accept the rpe,-&, tianr of this permit,
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the a 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 Author zation is b' o compli visions the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Agent: i-c
Date: ~O
2o ction Authorization Expiration Date: y,
HTE#
Permit # 5ff- M
Harnett Collnty Dept lment of Public Health
Sitc ketch
PROP
ISSUED TO: SUBDIVISION LOCATON:-~-Anuo-s: aC-.-osw
LOT
Authorized State Agent: '
PTAs ~OLA\psi.-~o~~~ t~ Date: ►a` ~0~
GO L'01F"C.,~4 C""-
l a 5 °16
rZe A~<~o
KEPP%
I NZL---4~
fl
R
i
C
I)
I
I~
165-
"a3
Department of Environment, Health and Natural Resources
Ste
Division of Environmental Health
'
On-Site Wastewater Section
Property ID:
Lot
SOILISITE EVALUATION
File
for ON-SITE WASTEWATER SYSTEM
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L~ e~ x,,. s~ j8n Flow (.1949):4
P
t
P
Location of Site: Property Recorded:
roperty Size:
ater Supply:
c❑ Individual ❑ Well
W
Evaluation
Method: r
Spring ❑ Other
~pe of Wastewater: Boring ❑ Pit ❑ cut
Type ewap ❑ Indusaial Process C-1 Mixed
s
P
R
-
O
F SOIL MORPHOLOGY
I
1940
OTHER
.
.1941
L Lamps Horizon
PROFILEFACfOR3
E Positiao/ .1941
* sly v
% am) Depth .1941 .1941 soil
wetnew
.1943 .1936 .1944
Proms
Texture M~~
.
~ sapro Restr
clan Hans
Clay
LTA
~F
G
n rs 5
0-U G J V r~ L s ~S j!
77
1 sg~ ~C C J s
innuu Rep.ir system Other Factors (.1946)
sy,aeo,
- Site Classification (.1948r P 'i
5 , 2 e, v, 2 Evaluated By: a~
u u Others Present: