IPACHTE# or-% `5 Harnett County Department of Public Health 2 5 7 8 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permi
PROPERTY LOCATION: NCe)A> j~l a4
ISSUED T0: ~tav~o G ~ALA~o~ QQ~j SUBDIVISION '$p?e cY- \1 ~ti-~o.6E LOT # SOC,
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: dCNStaL dt=F,C r.
Proposed Wastewater System Type: C -o rvv s~.r<,o rr A s-
Projected Daily Flow: Jab GPD ~tiooQtR' cl-,r
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ANo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well VOA feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the iss
site is subject to revocation if the site plan, plat or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
5 Date: SEE ATTACHED SITE SKETCH
other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
tt~nt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: O t~,v ~2~-- GNL_0rS t-5 fliJS PROPERTY LOCATION: NC. ~a X 14`1
SUBDIVISION eP'6cloG,- Vti>_acE LOT # \0 (cl
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes '14 No Basement Fixtures? ❑ Yes '5< No
Type of Wastewater System" Co H -4 Ear: s o N c,•._ (Initial) Wastewater Flow: GPD
(See note below, if applicable
PQ Me`C'o Q 14 -4 SP1 5"o N AL (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1`1 So gallons "'um"Exact length of each trench I O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ay' w`a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: -ft. TDH vs. GPM
Trench Spacing: cA Feet on Center
Soil Cover: S'~).- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: See do o,wy~s` D,L_L_ C.0"ON-N saNS
inches below pipe
inches above pipe
1a inches total
**If applicable: / underftand the syftem type specified it different from the type specified on the application. / accept the fpecilcdtions of this permit
Owner/Legal Repr Si nature: Date:
This Construction Authorization is subject to rev, f the s Ian, 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 subject to comph h i Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
e CtiiS Date: `i
Authorization Expiration Date: tip S
HTE# 1 Permit # Q.S' Ti
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: NC ISSUED TO: v.0 E. Lai 0,5 ODS SUBDIVISION $eswc,~- \L4f1r.E LOT # 1Or-,
Authorized State Agent QE~.}s ~bL~vG2 s oLXS~Date: 1eCA
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSPTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Evaluated:'1~`
Proposed Facility: cE _gn Flow (.1949): 530
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evahw ion Method: u W Boring ❑ Fit ❑
Type of Wastewater Sewage D Indusmal Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
N6xed
P
R
O
F
1
940
OIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
.
Position/
Stops %
Horizon
Depth
(In.)
.1941
Structure/
Teztun
.1941
Comidanae
Mimnlo
1941
Soil
wdnew
Color
.1943
Do* Soil
IN.
.1936
811"
clan
~
Hari:
Profile
Class
& LTAR
C~
a-
0 60
vFZ-, NS)+t-C
S C~
Description
Initial
S stem
Repair System
/
Other Fwtors (.1946
Site Classification (.1948r S
Avail" Spww .1943
Evaluated By: M
System Type(s)
e~ 45
Run? GC S4
Others Present:
Site LTAR