IPACHTE# 10-S-a3❑`7
Harnett County Department of Public Health 2 5 9 0 3
Improvement Permit
A building permit cannot be issued with only an improvement Permit
PROPERTY LOCATION: 1- asH sF¢
ISSUED TO: 2~[~N~prltvsocv VvsL- o Itve-
SUBDIVISION
NEW' REPAIR 11 E~ANSION El 'E LOT # _
Type of Structure: S PQ ( i-~"y XSS" ' Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: r7 5°/, {ZEDKrri0 ty Sys m
Projected Daily Flow: b GPD
Number of bedrooms: 3 Number of Occupants: (1,1 max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10b
Permit conditions: feet Permit valid for. ~ Five years
❑ No expiration
Authorized State Agent:: ~ Date: _J SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is ce of other permits. The permit holder is res Nnsible 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, .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 T0: ~rt7c !lc sso,~ f~~,L PROPERTY LOCATION: L_PSr3cZ
SUBDIVISION \r. ~ LOT # 'i
facility Type: _ S~Li`~ "x New ❑ Expansion ❑ Repair
Basement? El Yes No Basement fixtures? ❑Yes No
Type of Wastewater System" ~D°/* ~Gflt, lot,,
(See note below, if applicable (Initial) Wastewater Flow: GPD
)
Installation Requirements/Conditions Number of trenches I (Repair)
Septic Tank Size iC2nd gallons Exact length of each trench "0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1a " t$ inches
(Trench bottoms shall be level to +1-114-
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: P~TE;,ti Ls rr n \js 1 d gyp" S Aggregate Depth: inches above pipe
G Y 51 E- " inches total
If applicable: /understand the system type specified is different from the type specified on the app11catiofl. / accept the rpeci6ca#i flf of this permit.
Owner/legal Representative Signature:
Date:
This Conswction Authorization is subject to revnc~tion if the site plan, plat, or the intended use changes. The Consvuction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is w~jgct to compliance w~tTie, ~sions`~c~the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Trench Spacing: Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Authorized State Agent: (mss Date: 6 ~G
Co ruction Authorization Expiration Date:
HTE# IC7 -5- a3~~ Permit # -~S9C>
Harnett County Depailment of Public Healtb
kite ~vketch
PROPERTY LOCATON: _ asKv-q L- VL
ISSUED T0: tic- SUBDIVISION _ ~w „~~st Gczc>v LOT # 9
Authorized State Agent:
ouvEc~ , aLo(ZF Date: 1~6 \ 4
FALL
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
Property ID:
On-Site Wastewater Section Lot ot
L
SOIIJSITE EVALUATION File
f Code:
or ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: l{a4l 10
Proposed Facility:I ML Design Flow (.1949):36o5C~
Property Size:
Location of Site: Property Recorded:
Water Supply: lic ❑ Individual ❑ Well
❑ Spring
Evaluation Method: uger Boring ❑ Pit ❑ Cut
4
Type of Wastewater S
ewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1940
I
OTHER
.
L ~Pe Horizon 1941
PROFILE FACT(
1942
.
E Position/ Depth .1941 .1941 soil
/ .soil
# Slope % (In.) sI
o
943
rw
m
Consistence webmy
Tmdum Mineralo Colo
sod
r
oa6
1N.
3 O-K G 5 v-,z N,
~c" ' SeK G F► .sly
o- G 5 vpa- r
Ic s$ K,- c. s
s'stem Other Factors (.1946):
Site Classification (.1944 vS
Evaluated By: (TV-
Others Present: -
❑ Other
.1936
.1944 Profile
Relr Class
Horiz & LTA
4s .3,5
P s .35
Ps .15
es .15
IxA46 Qp- ap