IPACH T E # 0':) Oa3 Harnett County Department of Public Health 2 5 7 6 6
Improvement Permit
A building permit cannot be issued with only an~ Iq~provement Permit
PROPERTY LOCATION: Wig
ISSUED TO: ~AMa~T Co a5C , SUBDIVISION K~~LaN ~A2t~5 LOT # ~-Ct
NEWX REPAIR, ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
l 0 -f,
5
Type of Structure: -c 1.)
Y
Number of bedrooms: 3 Number of Occupants: C. max
Basement ❑Yes No
Pump Required: ❑Yes El No May be required based on final location and elevations of facilities
Type of Water Supply: El Community ~ Public El Well Distance from well \ 00 feet
Permit conditions:
Proposed Wastewater System T pe: Co ~1 ErtS s
Projected Dail Flow: 3_ ~ GPD
Permit valid for. Five years
❑ No expiration
Authorized State Agent.: Date: 1 s (39
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the nce of other permits. The permit holder is sponsible 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 Imp vement 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: '2--anekOVC Co PROPERTY LOCATION: \,I IZA)
C-0NVC,,Md" J J_ (Repair)
Installation Requirements/Conditions Number of trenches 2.
Septic Tank Size s ed 0 gallons Exact length of each trench 7 S
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: QJ
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: W yo Gt0.-1-.- "S ys r $G Vcz n ~F TIG ~lSTE.tn
inches below pipe
`a inches above pipe
t inches total
**If applicable: l understand the ryrtem type .rpecired it different from the type speciTed on the application. l accept the rpeci6cationa of this permit.
Owner/Legal Representative Signature: Date:
SUBDIVISION 1V,, rl t~r+v Nz'a.2s,S LOT #
Facility Type: Spa SUS New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'N. No Basement Fixtures? ❑ Yes No
Type of Wastewater System" C-C~ '4-.r sp~\ ~0 N P, L_ (Initial) Wastewater Flow: 2>6(!) GPD
(See note below, if applicable
p14a of L uSe uianges. me construcuon numortzanon snap not he transferred when there is a change in ownership of the site. This
Construction Authorization is subject t compliant 't ro ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
r
Authorized State Agent: RYAS Date: _
No'nstruction Authorization Expiration Date:
HTE# CF1-5"a3d~3 Permit # X5`7 C,-r.
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
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I
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D
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PROPERTY LOCATON: K~ r L~ VAq. .
_ SUBDIVISION W sac CLz l -1 LOT #
E~~s ~o► .v E~ ~o~~sao Date:
ICU/
EMMPA C,OV(~
Department of Emimnment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant: ~JF kn ~~,a1o~
Address: Date Evaluated.
Proposed Facility: 32E~,Los--Design Flow (.1949):34- 0 ~
Location of Site: Property Size:
Property Recorded:
Water Supply: ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: laerBoring ❑ Pit ❑ Cut
Type of Wastewater: ge ❑ Industrial Process ❑ Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
L
LmWoape
Horizon
.1942
E
#
Position/
Slope %
Mob
(In
)
.1941
SUuch"
.1941
C
i
Soil
.1943
.1936
.1944
Profile
.
ons
stence
wetemw
soil
Sgro
ReeAr
Clan
Texwre
Mineralogy
Color
Depth [N.
Class
Horiz
& LTAR
'
-Y
-2
C- lam'
v ,✓J1ty
- '
•Aw1wtm IlMtai Repev System Other Factors (.1946):
System Site Classification (.1948): 90 -S
Available S .1943
S Rem a ct,4 Evaluated By: c~ N
Site LTAR . n Others Present:
ti
" ~PA 12