IPACHTE# O°t~5-ao9~► Harnett County Department of Public Health 2 5 7 5 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M,crao'CowG,-,- Qb
ISSUED TO: O . D+>-5 t1 Co ~►S^CCLU c a SUBDIVISION -Ti LOT # "R
NEW,' REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5~O
Proposed Wastewater System Type:.C-o j ~ . o r4 N t..,
Projected Daily Flow: 0 GPD
Number of bedrooms: Number of Occupants: ro max
Basement ❑Yes X No
Pump Required: ❑Yes 'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well \44 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Ns Date: o a o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees Lance of other permits. The permit holder is responst le 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, .19S7, .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: '\4 o t,.sN_, Co r b Na~j c-5 to N PROPERTY LOCATION: CxLd" ,,,j Cit. `(L.o
SUBDIVISION `C\ N re~N ~ t-AG, LOT # "t$
Facility Type: SV0L~~xyNew ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** _ CON JEn1~y~f~lp (Initial) Wastewater Flow: %C) GIRD
(See note below, if applicable
CQn1 YE.yfi i ~ N Q... (Repair)
Installation Requirements/(onditions Number of trenches
Septic Tank Size t o0o gallons Exact length of each trench 1SC) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 5~~211 inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: W ra.NEg_ L\"r, ~Na
Trench Spacing: Feet on Center
Soil Cover r- -VDL. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth:- inches above pipe
i \ 1. *%1 " E.5 SC), inches total
**If applicable: / understand the system type rpeciled is different from the type specilled on the app1i?ation. / accept the apecircationr of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is vAijul-Lo revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when rhPra is a hanae w~o.<ti~ r ttie rti;.
Construction Authonzation is s1e t to comma pltM w~ \ ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: -z- Date: tOCI~7~ 0
Authorization Expiration Date:' to
HTE# O c1-5Permit # a57 55
Harnett County Depailinent of Public Health
Site 'Sketch
PROPERTY LOCATION: M~~aw~i.
ISSUED T0: LSH ~~s~a-ti►~W t~ SUBDIVISION cy c.-: 4 9L y, E
LOT # L1$ _
Authorized State Agent c~ s 6L
w14 `Tot.~sop~ Date:
a.'a..6
n%cxbo
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: 3 zaw x-4,6 Design Flow (.1949)3(G
Location of Site: Property Recorded:
Water Supply. public ❑ Individual ❑ Well
Evaluation Method: AAuger Boring ❑ Pit ❑
Type of Wastewater: 0,~ewage ❑ Industrial Process ❑
Shed:
Property ID:
Lot k
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
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F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
I.adsaps
Position/
Slope %
Horizon
Depth
(1n.)
.1941
stud"
TeAre
.1941
Conaisteme
Mineralogy
.1941
Soil
webmw
Cola
.1943
Soil
.1936
Sepro
Class
.1944
Roo
Horiz
Profile
Close
# LTAR
S
y
Description
Initial
S
Repair System
Other Factors (.1946):
Site Classification (
1948
Available Space .1943
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