IPACHTE# Harnett County Department of Public Health 2 5 9 Q 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -Try 6~ rs Q,p
ISSUED TO: J?> Ia- L C-Lc~.<z~c- ~ot~FS 1N C, SUBDIVISION PgTOe,~ Poa•c~ LOT # 9a
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Ste'
Proposed Wastewater System Type: w Meted Co+~ w r-
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑YesJ No
Pump Required:-XYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ;K Public ❑ Well Distance from well O d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: - Date: 3 13 1\0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance 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 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 TO: q>%2-z- C,_.Pn.N-'AO MFS PROPERTY LOCATION: I t^t6EN VID
SUBDIVISION Pae a r~s V61 VV LOT # _
Facility Type: ~D 'r3-1 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes --X No
Type of Wastewater System** eu m;To ~o r.vE~ r~~o N c.+ (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable _
w 4 1 o Cd r, !E>`f l O rJ AL (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size oc1cz) gallons Exact length of each trench 2w~O feet Trench Spacing: Feet on Center
Pump Tank Size S r)COZ) gallons Trenches shall be installed on contour at a Soil Cover: 6- inches
Maximum Trench Depth of: 1?-3,L} inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM 6 inches below pipe
Conditions: \Jct rL Aggregate Depth: inches above pipe
l -~r- ~~~t }6 ~ao cn S~CQCiG E fa
inches total
**If applicable: / understand the system type specified is different from the type specified on the app/bv
n. / accept the specifications of this permit.
Owner/Legal Representative 4ignature: Date:
This Construction Authorization is subject to revoca if the plan, 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 Authorzation is s ~compliance io f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
X-0
Date: 3/ 3 I i o
truction Authorization Expiration Date: 3
HTE# Permit #
Harnett County DepaAment of :f'ilblic Health
Site Sketch
PROPERTY LOCATON: I NGC-,q
ISSUED TO: 1- Oc,E.s ~sIA c. SUBDIVISION ~aCCOc~s Po~~- LOT
Authorized State Agent: Date: 3~ 10
A-I
1C~q ,
t6o
's;2\kE. cG~~ Uc2-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Proposed Facility: -3 `tee
Location of Site:
Water Supply: Public ❑
Evaluation Method: Auger Boring
Type of Wastewater Sewage ❑
Sheet:
Property 1D:
Lot
File
Code:
Property Size:
Well ❑ Spring ❑ Other
❑cut
❑ Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
LAub ape
Position/
Slope %
Horizon
Depth
(In.)
.1941
sbvcftw
TeMure
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
{
L5
'
Q'~,cl
S
~jCn ~j sV
c:, -'6
3a`'
G -3 i.
a
Q-3~
G 5
G
Description
Initial
system
Repair System
Other Factors (.19+16):
Site Classification (
1948):
Available Space .1943
.
Evalu
ted B
:
.:em a
p
Q vM
a
y
Oth
t
P
Site LTAR
'C
ers
:
M=
Date Evaluated: 3} ~ 10
Design Flow (.1949): 36c
Property Recorded:
Individual ❑
❑ Pit
Industrial Process