IPACFITE# o-\ -s- 056 Harnett County Department of Public Health 2 5 5 9 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Aocrxx Pte,
ISSUED TO: 'A lirrK C-0-,1'51 SUBDIVISION P,o rE FPrtr~9 LOT #
NEWXi REPAIR ❑ -4PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'~'O ~ Lxn I'"t
Proposed Wastewater System Type: 21-5 '=/c, REo.x No N Sys ,
Projected Daily Flow: GPD
Number of bedrooms: 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 ~K Public ❑ Well Distance from well `LC) O feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent:: \ Etas Date: to`~1 g _ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaran s the nice of other permits. The permit holder is re ponnble 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, .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: ~►yH., Co,~~~ PROPERTY LOCATION: ~orvc G
SUBDIVISION Pt0N6e, 2_ LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~R No Basement Fixtures? ❑ Yes No
Type of Wastewater System** PxE-ouc",C) "J S>'~~ C='^ (Initial) Wastewater Flow: 3LQ GPD
(See note below, if applicable
8.. %
5 YEr~t (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size td00 gallons
Exact length of each trench °tb feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of- a4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions: Y4" e- ~`t1v t ~E ~wr, SER-' \C-
f • t p • 1 L '~G~ a. Ck1 O 1 t~ lP~ t _ csCi ee t''R-
Trench Spacing: Feet on Center
Soil Cover: Sa inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
t L-N-y inches total
**If applicable: /understand the System type rpecided it different from the type .rpeofled on the app&atioa. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
- -1111 •r .11-1- - e-11 p.aa 1- use u,angeN. fire ~onsauawn aumonzauon snau not De transterreo when there is a change in ownership of the site. This
Construction Authorization is subect to compliance _ he p s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1i .,Z
o truction Authorization Expiration Date:
HTE# CY)-5-,'4W5 Permit # ~.s5~I
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Ao1-0
ISSUED T0: ~yr~~y Co cvs Y • SUBDIVISION Pt o aE:ECL ~Pn r s LOT #
Authorized State Agent. ~(z Em`s Coil v C4 T o~KSC~o(~y Date: Z~ 0
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: i 4cl)o q
Proposed Facility:3 OC a ~•E Design Flow (.1949): ~,jo~e
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater J~j Sewage ❑ Industrial Procem ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Nfiixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
L=Ws spa
Poeitioe/
Slope %
Horizon
D"A
(110
.1941
sumctuw
Teadura
.1941
Conwateaca
Mimmlo
.1941
Soil
wahmw
Cola
.1943
sod
Dm& IN.
.1936
Sapro
Ciao
.1944
Rm&
Hartz
Profile
Clan
LTAR
r
0-~3`
s~
vs:k,
lS
L
Other Factory (.1946
Site Classification (.1948y Q~
Evaluated By: d1
Others Present: