IPACHTE# o~-s-a3>a-► Harnett County Department of Public Health 2 5 7 6 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Mart`~.S Ro
ISSUED TO: KrltrA N ~ ~M~r1 c 5 SUBDIVISION As a~ d~ LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'F 9 -~D
Proposed Wastewater System Type: QQ'e`"Ta Z.&/a Rr u~wNSyS~EM
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required-AYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X, Public ❑ Well Distance from well 100 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ' _ Date: 11 rb°1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in nu way guarantees the ' ance of other permits. The permit hold 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 Im ovement 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 layout.
ISSUED TO: Qv-tb:CV) PROPERTY LOCATION: In PP-`4-5 'eo
Facility Type: S~
Basement? ❑ Yes X,, No
Type of Wastewater System" Pv,
(See note below, if applicable
SUBDIVISION
New ❑ Expansion ❑
Basement Fixtures? ❑ Yes X No
nP ~0 Q-S/a 'RcE.O3cnaN SyS'SEr.
~=bt`LD LOT #
Repair
(Initial) Wastewater Flow: 340 GPD
PU "R -7o Z:~A Cs'" ~ySTE,~• (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 1odo gallons Exact length of each trench 1 feet Trench Spacing: Feet on Center
Pump Tank Size ooc) gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. 11-». inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" pew 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Conditions: C`1 G' ov c~T15sz. N tjEo~ Qv ~ 1aF.~. 1 ~ L) t'4 Depth: inches above pipe
'""`'ur`1 inches total
S 1V-5'( ~E 10~ c~QOr S Ep CvL `~~)5str
**If applicable: / understand the system type specified is different from the type speciled on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site 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
Lonstructton Authorization is subje&t compliance vis of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Q Date: s~ 0
Co uction Authorization Expiration Date: i
HTE# N4 Permit it a `164
Harnett County Depar(ment of Public Health
Site Sketch
PROPERTY LO(ATON: ~Acz.~S
ISSUED T0: KE~~c6~~~ Cucn \H~~ SUBDIVISION PsliGaQSD LOT # CN_
Authorized State Agent: a~ts~guvf n ~oz~,9adt}~ Date: \N x10`1
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Department of EmAronumt, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIIJSITE EVALUA'T'ION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 303~ Property Size:
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well ❑ Spring ❑ other
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of wastewater. 'Sewage ❑ Industrial Process ❑ Mixed
P
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1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
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#
Landscape
Position/
Slope %
Horizon
Depth
(la)
.1941
Shuch"
Texture
I
.1941
Coosistamce
Mineralogy
.1941
soil
Wetnew
Cola
.1943
Soil
Depth (01.)
.1936
sapro
Clan
.1944
RaW
Horix
Proms
Class
LTAR
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Desaiption
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System
Repair System
Other Factory (.1946
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Site Classification (
194a
Available Space 1943)
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