IPACHTE# cYV-~~ '~L. Harnett County Department of Public Health 2 5 7 9 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Po r4 nSajc~i5 A PID
ISSUED TO: Cv m[ za.aNa ~C:S ~r t L SUBDIVISION Ccraat-% LOT #
NEW79 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 7C) (5% "<o ti
Proposed Wastewater System Type: CcH r~tOt~rAt,
Projected Daily Flow: 3~0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 'X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well IQ C feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~guaante, Date: ► S EE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no suance of 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 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 taws 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, J954, .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: G~ rvlg--rLt_! a ~o~e 1,r,1 PROPERTY LOCATION: PouQfsZOSA QD
SUBDIVISION CPaa.o L NN r~, S6c x, Ns LOT #
Facility Type: SG p (X~ { -'DZ, New ❑ Expansion ❑ Repair
Basement? ❑ Yes '54 ' No Basement Fixtures? ❑ Yes 'No
Type of Wastewater System" C-I~s "-4 E.e-t't 0 N Pv t , (Initial) Wastewater Flow: 3 ~Q GPD
(See note below, if applicable
Co rNetSC tON A !w (Ranair\
Installation Requirements/Conditions
Septic Tank Size s-bo4 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Number of trenches t
Exact length of each trench '.C) (5 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of 2) 4 inches
(Trench bottoms shall be level to +1-114"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil (over. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: \-Joc7c- - L,nG tfltl51 9C lQ; ~r 4m SEkrT tG Aggregate Depth:
SyS-S~,Y,
C, inches below pipe
inches above pipe
_ inches total
*If applicable: /under land the system type rpeciled /s different from the type speciled on the app/ication. /accept the rpecificationr of thif permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization k suhiart to ravnrarion if tho arc ~1- ~tor nr 4'. ;.,..A.d A T.
- - - --..._..b 11a1- 1-1. nor -11 C.11 roan niece o a mange in ownersmp of me site. ims
Construction Authorization is t~Lect to compliance ion the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
a-
Authorized State Agent: J~ , RC~1S Date: ) 0
Co uction Authorization Expiration Date: /S~ t
HTE# 0~1~5-73312. Permit #7~5
a-U-nett County Department of 1"liblic Health
Site Sketch
PROPERTY LOCATON: Po n~estASA ZZ
ISSUED T0: CU M SUBDIVISION C-Kzoz,) uP. ` EA A S LOT #
Authorized State Agent. 2~'+5 ~0~-w `YOB ~r.SO025^ Date: 11,3 No
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Department of Environment, Faith and Natural Resources
Division of Environmental Health
on-site Wastewater Section
SOEWITIC EVALUATION
for ON-SITZ WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evahwfed: i 7 } C} \
Pr°'Poaod Facility: 6eL~Zoo n . Design Flew (.1949): 3 6 0 9 c~
Location of Site:
Water Supply; Public Individual ❑ Weil
Evaluation Method: Auger Boring ❑ Pit U
'hype of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
SOM. MORPHOLOGY
OTHER
I
.1940
.1941
PROFMB FACTORS
Hariza~
.1942
E
#
Pa
slops %
(le.)
.1941
shuch"
.1941
C
i
Soil
.1943
.1936
.1944
ProflN
Tara
ao
dem"
Wdoed
Color
Soil
SWO
Ciao
RmW
Had a
Ch"
• LTAR
a
f.
o
G S
~Fn N~1,,e
E
l
Q~b G S V~"n-
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c2 V"rL s5)
Lmo%wq m asp RV* tjAlm Other Factors (.1946k
sydeof
Site Classification (.1948}. P~
TV= lA6N s 1943
i co u By
COX) cy~
31b LTAR i <j, I Odws Present
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