IPACH T E # 0°i `5=,43LJ 1 Harnett County Department of Public Health 2 5 8 5 1
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: E-foovsa-
ISSUED TO: GENE) ~'~omGs ry c-. SUBDIVISION Pe-n5I mr-)p t.t "-1-5 LOT # 1 a
NEW>< REPAIR 10 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S ~ t `Z:) 'xt-1-bProposed Wastewater System Type: Cl-S% ~?,Uug%to N -C--) SiiM
Projected Daily Flow: L-- 5 GPD
Number of bedrooms: Number of Occupants: 5-1 max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No ';4 May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well Ill. b0 feet Permit valid for. Five years
Permit conditioner ❑ No expiration
Authorized State Agent:: n~- 2Eti5 Date: 1 `d t0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce 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 Impr ement 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 TO: ~ ~~om65 INC PROPERTY LOCATION: ~AoovE2 Qk)
SUBDIVISION Razz-,MC4,cs 0 s L-t5 LOT #
Facility Type: S F flNew ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** IS'/6 ~u cnx o N S ys'~ (Initial) Wastewater Flow: I}RO GPD
(See note below, if applicable
o 3 Sys-cEcn (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size x.000 gallons Exact length of each trench -1 Z7 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4~- inches
Maximum Trench Depth of. 1~`a 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: W R; C~ 1 C r1 y5-5 $E Aggregate Depth: inches above pipe
ySTErn inches total
*If applicable: / undecrtand the ryrtem type rpeci~ed it different from the type ,rpeci~ed on the app/ication. /accept the .rpecificationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiert tor vnrat nn if rho aru ~i i,.
s aura tnau uor oe transierrea wren mere is a change in ownership of the site. This
Construction Authorization is subjecc"t to compliance qtr t " ns a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t xo
Cons tion Authorization Expiration Date: ~5`
HTE# Permit
Harnett bounty Department of IlUblic Health
Site Sketch
PROPERTY IOCATON: vAcole2 ap
ISSUED TO: ~C-~r`,c.~j SUBDIVISION r 0",Q JQ ~ ~L~S LOT # _
Authorized State Agent: vL~~ O~ZV~CL NoL-y-S~4C~ Date: I ~'lb
lpa~
5 ST2EcTSCWe BUG'VEQ.
a 5~1a
ED UC*Y'
2Ep~ i 2
AQC~
)~4"
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOFUSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Ownw. Apples.
Address:
Date Evaluated: .0
Proposed Facality: Design Flow (.1949): L
Location of Site: Property Recorded.
Sheet:
Property ID:
Lot 0:
File M:
Code:
Property Size:
Water Suppiy: ❑ Public ❑ Individual ❑ Well ❑ Spring
Evaivadon Method: ❑ Auger Boring ❑ eft Cut
Type of Wastewater. ❑ Sewage ❑ Industrial Process ~ Nfixed
❑ Other
P
R
O
F
SOn,MORPHOLOGY
OTHER
1
.1940
.1941
PROFILE FACTORS
L
Lu
Hoezos
.1941
0
slope %
Dq6
(In.)
.1941
Shuck"
.1941
C
i
Soil
.1943
.1936
.1944
Profl1.
Tub"
om
rteea
MhWalo
Wdoew
C
l
Soil
SWO
ReW
CIw
o
or
C1aee
Hari:
A LIAR
G s
~e \Z 5d
1 x I 3~~
P 5
Q
G
C S t s l0 `I eL-2 t 0 35
Site Clani$cation (.1948r
Evahnied By.
G
Others Proses:- -