IPACHTE# Q/=)i -5-03 Harnett County Department of Public Health 2 5 7 5 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N6R'i U'>
ISSUED TO: cAV tos:55 L-Ara9 ~~x6~Cf? t3'~ SUBDIVISION ~C)C7ScSt ) P.N.S LOT # S Lfo
NEW X REPAIR ❑ EXP NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 4;Y-1- LN-)
Proposed Wastewater System Type: Co rv vQ-,mx0 r, li~-, L
Projected Daily Flow: 3 GPD
Number of bedrooms: 3 Number of Occupants: Co 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 tC0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: 10 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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: ~~vvp 0S---4 c~ec~G,s< PROPERTY LOCATION: NVtt~y Qz,
Facility Type: SC9 oye "W)
Basement? ❑ Yes ~X No
Type of Wastewater System** _
(See note below, if applicable
Basement Fixtures?
) Tl` 'Z \ Q tJ
SUBDIVISION 'P6QL-+g'c QP,v,!, LOT #
New ❑ Expansion ❑ Repair
❑ Yes No
'5% V-E Ucs \ 0*3 5Y.5 i Erg (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Loop gallons Exact length of each trench 9Ll►0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: `3C~-nb inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
(Initial) Wastewater Flow: 3~d GPD
Trench Spacing: Feet on Center
Soil Cover: a,1r - inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM W` ~ inches below pipe
Aggregate Depth: inches above pipe
Conditions: WO-Ceg.L\-WC- tt\vST Sc 10 Vci4r^ SSP-~ ate 5Y5 inches total
nd
1p`d "rGQOAC1, aw ~htt'C\Ac GCL G gJCL Q(LC~7 -
**If applicable: / understand the system type speciled /s different /rom the type specified on the app/icatian. / accept the rpeci6cationr of this permit.
Owner/Legal Representative Signature: Date:
i as Nian, pia, or tie mcenueo use changes, ine construction Authorization snail not be transferred when there is a change in ownership of the site. This
construction Authorization is subjefo compliance wig e e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Qb)15 Date: to
Authorization Expiration Date: to
HTE# QYA t 727 Permit #
Harnett County I)epailinent of Miblic Health
Sitc~ 'S ketch
PROPERTY LOCATON: `Vv asErLi l(b
ISSUED TO: ~v N (mss Grp GJ . SUBDIVISION Vonk.~N O Pc`4~S LOT # 16~
Authorized State Agent: N2-RL-~,6 41-1'J5 S& LIB iF Date: ~~8I4~1
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Dep®rtment 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: d
Proposed Facility: 3 ~Ue ~'J Design Flow (.1949): s a
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluadon Method: AM K=p r Boring ❑ Pit El
'Type of Wastewater ❑ Industrial Process ❑
Shed:
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
#
Lan&caps
Position/
Slope %
Horizon
Depth
(1n.)
1941
struchard
Texron
.1941
Consistence
Mineralogy
.1941
soil
watn"d
Color
.1943
sail
Depth (IN.)
.1936
Sapro
Class
.1944
Roo
Hartz
Pro81a
Clan
# LIAR
~ ✓Q
c
C
vP2 ~S~ uQ
P s
Description
initial
s stem
Repair System
Other Factors (.1946):
Site Classification (
1948r
Available Space .1941
.
E
ellt
t
d B
System Tx*s)
QfQ
y:
V
a
e
Oth
P
.
Sit* LIAR
S
X
ers
resent