IPACHTE# C)Cl 33~-A Harnett County Department of Public Health 2 5 7 9 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: M PP2.1l U-C SUBDIVISION 1:1S~~GFncz3~ LOT # T 16
NEWX REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 ~C) ~5Z.K 6-J
Proposed Wastewater System Type: KvEN;.U "pit.
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: ~O max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ;9 Public ❑ Well Distance from well 100 feet Permit valid for. ~ Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: \0~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ' ance of other permits. The permit holder is respon ible 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 Improvement 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, .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 T0: ~c'-~l r1 e,L~~ ~E•, LL C- PROPERTY LOCATION: MP2~c 5 R-o
SUBDIVISION N'Z.NN 0,rZD LOT # 11 I-
Facility Type: New ❑ Expansion F-] Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes No
Type of Wastewater System**
(See note below, if applicable
Cc~r.tvSN;~vNC'~L,
Installation Requirements/Conditions
Septic Tank Size S O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Number of trenches Q,
Exact length of each trench '15 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: a- 'j inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Initial) Wastewater Flow: 3~-0 GPD
Trench Spacing: Feet on Center
Soil Cover. 1 Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
~c~cr~t, Vin` ~vs g~ ~rczotn S;s~ SyS~
Conditions:
inches below pipe
a inches above pipe
1 inches total
**If applicable: /understand the rystem type specified is different from the type specified on the app/ication. / accept the speciflwionr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r n if the si 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 compliance wi~they~ " ns o e laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: S~- 6
Constar hion Authorization Expiration Date: ti~ 3
HTE# O°\- S X331 ( Permit # aS`) ~ S
Harnett County Department of 1' blic Health
Site sketch
PROPERTY LOCATON: Maa~~s ~s
ISSUED T0: P+, (Y1a c,~~ -v . 1 _LC. SUBDIVISION LOT # \ 1
Authorized State Agent: ULN4M T6LKS00 Date: \ 11 41
55
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISiTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: yap-s)~1
Proposed Facility: ~ Q -~z ~ Design Flow (.1949): tt
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
t_ 5
a°/ o
Horizon
Depth
(11)
0
.1941
sl uc bmw
Tenure
.1941
Consistence
Mineralo
.1942
Soil
wetnew
color
.1943
soil
Depth IN.
.1936
Sapro
Clap
.1944
Restr
Honz
Profile
Clap
& LTAR
s .g
a
C',
G 5
VTR
Description Initial Repair System Other Factors (.1946
Available Space .1945 S Sim Site Classification (.1948):
stem inx-0) Evaluated By: o C
LifeI -TAV Others Present: