IPACHTE# on -S-tea Harnett County Department of Public Health 2 5 7 8 2
Wrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: A~ P t tv G y
ISSUED TO: I;?) L (~C.1L Vf A=LL `_IvO me;") SUBDIVISION --VW ~ S u 1r t„1 ~ ~ LOT # ISO
NEW REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO cf~
Proposed Wastewater System Type: C-4::) 6 -t\, o a v,L
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement ❑Yes XNo
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well y-O b feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: 94--h5 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss other permits. The permit holder 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 Improvem ermit 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 i
nto this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
\
ISSUED T0: PROPERTY LOCATION: P\L_p ~►G a-\ \t
L-
SUBDIVISION 1 ItAf_- S
Facility Type: ANew ❑ Ex
ansion ❑ R
i
u co cm \-'K LOT # 150
p
epa
r
Basement? ❑ Yes ~K No Basement Fixtures? ❑ Yes 'XNo
Type of Wastewater System** Co r4 .tG -e\ d r-JAL
(Initial) Wastewater Flow: GPD
(See note below, if applicable
Co wvEA~s "syU NAL (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1.0 QC) gallons Exact length of each trench -1 C-:- feet
Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil (over. 1 a-`18 inches
Maximum Trench Depth of. O ~ -'30 inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
L.1 t155 C lC) V2 ~'-~GP C rC
(onditions: A5 4
y s sL-
Aggregate Depth: a` inches above pipe
ti a
-
,
inches total
**If applicable: / understand the system type specified /f different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to r ation 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
Construction Authonzation is su ' to oomph wit isions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: I ~ day 109
Authorization Expiration Date: r ' Ny
H T E # O°► --S-a3a5q Permit # a.S`T T',
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: A LP ) ~A E
ISSUED TO: ~L SUBDIVISION S u my N v-5 LOT
Authorized State Agent: tp-v6 Date: 11 Zlgl 49
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DepattmcW of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
a~ o `1
Addm a: Date Evaluated:
Proposed Facility: 3 ear. v,o Design Flow (.1949): ~ e a
Location of Site: Property Recorded.
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater. Sewage ❑ Industrial Process ❑
Shed:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Nfixed
P
R
O
F
I
940
OIL MORPHOLOGY
.1941
OTHER
PROFILE FAC iOR3
E
0
.
Position!
Slope %
Horizon
Depth
(la.)
.1941
sumch rel
Terre
.1941
Comitma
mfimalo
1941
soil
wetned
color
.1943
sal
.1936
.1944
Hartz
Pmm
lose
Close
c LIAR
1
4 S v
S
n t1St#IQ
S
z
a-
i
Description
Initial
s t
Repair system
Other Factors (.1946
Site Classification (.1948y S
AvsibdAs Space .1945
Hy: O~
a
C0
N
C~
n.`
Present:
Others
Site LTAR