IPACHTE# 00~ Harnett County Department of Public Health 2 5 7 7 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: &yQ1n Q n rt z~ Rnp
ISSUED TO: P,C;e"F- L ~-o SS SUBDIVISION F' -V a 6-a LOT # 3
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C'1 ~N 0 chE
Proposed Wastewater System Type: 0.LOUCT..nN Sy~sEM
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Well Distance from well 100 feet Permit valid for. Five years
Permit conditions: mi'c'as, ❑ No expiration
Authorized State Agent:: P ~l~S Date: \1 71 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit holder is res onsible 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 Improveme 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, .1951, .1954, .1955, .1956, AM, .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: ~P~G1y~cL ~sg
PROPERTY LOCATION: p~'Q.o ~o,a0
SUBDIVISION F1-0740 Y-0*AMEg LOT # 3
Facility Type: Mt, •3 . AA0 cwt (20
ASD -'t< New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basemen
t Fixtures? ❑ Yes 34 No
Type of Wastewater System** a.5°`6
REOvcS~ot`r SyS~rcM (Initial) Wastewater flow: 34 O GPD
(See note below, if applicable
L
$ ~
-
(Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size I Obn gallons
Exact length of each trench 1 b CJ feet Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a Soil Cover: C, inches
Maximum Trench Depth of. 1 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs.
GPM inches below pipe
Conditions: M tNLmy M C oC
Aggregate Depth: inches above pipe
C-Z tFS7. NS:EpEJ O-J Fsi QQ.A~NF, inches total
**If applicable: /understand the system type specified is different [W7 the type specified on the app/ication. /accept the specifications of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subjec to rte e 6tatie f the si plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is pct t`a compliancehe uLo Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: s q a°1
Constru n Authorization Expiration Date: ,
HTE# 0C1 "S a31 Permit # c).S`1-1~
Ha"nett County I)epartrnent of Public Health
Site Sketch
o PROPERTY LOCATON: gy Q o QO~.,a vvD
ISSUED TO: SUBDIVISION V-06¢NGa LOT # _
Authorized State Agent: S 6 L' 4f~- `SQL t6- Date: t )1a n
v'O~ L O~ t"LA6S~0(L S J?PL`9 -1 r.~L o t +0~ 0 IvE-fit, C\ v r~~
T
~a
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: 3C
Proposed Facility: '7gn Flow (.1949): 3
Location of Site: Property Recorded: 9
Water Supply: Public ❑ Individual Well
Evaluation Method Auger Boring ❑ Pit ❑
Type of Wastewater: go ❑ Industrial Process ❑
Shed:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
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1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
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.1941
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Tagm
.1941
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.1941
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Color
.1943
sail
.1936
SWO
Clan
.1944
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Dou ip tion
Initial
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Repair Sydow
Other Factors (.1946
Site classif
194s
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Site LTAR
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Others Present: G Z