IPAC RHTE# o~ s5~3~ Harnett County Department of Public Health 2 a 8 5 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: R..p
ISSUED TO: S i 1~ so s s u t ~D F12s `r+G SUBDIVISION _ W i-y4 vn Gq-c, L LOT # ~
NEW REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: cD
Proposed Wastewater System Type: QLS"lo I~t_ou c~ so ► S ~s> E cr,
Projected Daily Flow: C) GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X~Z,, Public ❑ Well Distance from well 1,O d feet Permit valid for: Five years
Permit conditions: < ❑ No expiration
Authorized State Agent:: ~-,S Date: \ \`A\lC) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ermits. The permit holde is resp osible 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 it 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, J95S, .1956, .1951, .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: cJ;E~~i~NSO,u $u,Lo+✓.2s NC. PROPERTY LOCATION: ~Sp.~Etz
SUBDIVISION ~ a.LNv-; GCE LOT #
Facility Type: SF-~ C6y '~~D
New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'S~ No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** la Rev L1 , a N S -Y s ~ E s<, (Initial) Wastewater Flow: "SO GIRD
(See note below, if applicable
"~L. c r, (~-U>J 1~5 tcrN S-1S -~l~tr (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 1000 gallons Exact length of each trench awe) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2k:L~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover. 1 Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: V rrcUc7~ M ~s-s ~E t~ SEP-s c.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type speciled on the app/ication. / accept the rpecifcations of this permit
Owner/Legal Representative Signature: Date:
u~ u~u auuioiunumi a wufeu iu eret mince she plan, plat, or me mtenaea use changes. me construction Ruthonzatlon shall not he transferred when there is a change in ownership of the site. This
Construction Authonzation is suLIC" compliance wr e p "~ISthe and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: so
Constru n thorization Expiration Date.
1
HTE# O~-5 x351 Permit # a.! 3--V ,
narnett Connty Depailment of I' blic nealth
bite Sketch
PROPERTY LOCATON: Qom,
ISSUED T0:C~~,~ ~,rv< SUBDIVISION VJA~,yr L LOT # 3(?
Authorized State Agent: Q~r1S J,-Sai~s Date:
- I
6(.'
(Ellq-ls,3 G
3>>/
Department of Environment Health and Natural Resources
Division of EnvhmnenW Health
On-Site wastewater Section
SOI JSITZ EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner Applicant:
Address: Date Evaluated: \
Proposed Facility: y 06oc=^ Design Flow (.1949):Lq )
Lotion Of site. Property Recorded.
Water Sup*. Public ❑ Individual ❑ Well
Evaluation Method: 4Auger Boring ❑ Pit
Type of wasiewawr: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot t:
File
Code:
Property Size-
13 Spring ❑ Other
cut
Nfixed
r
R
O
F
SOIL MORPHOLOGY
OTHER
1
.1940
.1911
PROFILE FACTORS
B
Lmdoomp
POW"
mope %
L 5
Horim
>
(hL)
.1941
9trnopwl
T43mn
.1941
Camidt
1941
Soil
webmw
Cola
.1943
Sail
.19%
S"e
Cim
.1944
Rs4
Hans
Proft
Gtr
A LTAIt
-4c
59vt,s"
~ s61s~
~5
Site Claesifimdoa (.1948X 0--~
Evaluated By. a
Others pfesmt: