IPAC RRHTE# 0c~ Harnett County Department of Public Health 2 5 9 2 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: T) ae.~ `Pp
ISSUED TO: ~Prvou ~tz~c w, 2,u~~oN ~~G SUBDIVISION Pe %S C-rbaD LOT # 1 K
NEWY REPAIR ❑ EX7SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5Gb (,SSA x ~S
~ M
Proposed Wastewater System Type: Qv^?-To' O/e R'0L4;-'es4
Projected Daily Flow:U GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes I No
Pump Required:-'es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well S G 6 feet Permit valid for: X Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: (2 -,t's5 _ Date: 3~ YS Id SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit holder is sponsible 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, .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: -"c'4 Qn.Nc'r- Cocttcn, Ur..t 11H6- PROPERTY LOCATION: ~N2`-5 V--D
SUBDIVISION ~5F\f=floa
Facility Type: SGQ ~SS~-lam," New ❑ Ex
ansion ❑ Re
air
0 LOT # \39_
p
p
Basement? ❑ Yes ``,K No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" w ~-P -o r-Is-la ~o,e- tLO rA SY -5-4 Ej4N
(Initial) Wastewater Flow: GPD
(See note below, if applicable
Pv mf 10 a-S°/o f 0 K S }sV"Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size ti oho gallons Exact length of each trench tqO feet
Trench Spacing: Feet on Center
Pump Tank Size 1(!70 d gallons Trenches shall be installed on contour at a
Soil Cover si inches
Maximum Trench Depth of. at-{ 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: aClo of r4 "C'vA DcZP-40 Q.~c usaks> - Smc S S E S~~sr V
Aggregate Depth: inches above pipe
>
Olk-
S
TPa
_
.
on-
inches total
Wn;«~ t,..s~sL 1"t~ td'~"rt.,otn ~a-r,cr S~isrE~ CH`s P~,n 6v,
sGO O Pnc,p c... ~ rn
~pP L~,,pv ~-h S SO s r_ ~ cr'S U ~.'C tea t~s
"`If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of thin permit.
Owner/legal Representative Signature: Date:
• ° •°°r- -1. „ y a , r-a ~ e inicnaeu -,e wanges. me LonSI UCilnn autnonzauon snail not he transterred when there is a change in ownership of the site. This
Construction Authorization is subje to compliance th the pro ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date. 1s 1b
ction Authorization Expiration Date: _3 N S
HTE# Q'~ Permit #
Harnett Connt r Department of Public Health
v i to Sketch
ISSUED T0:
-::Yr,,
Authorized State Agent:
pc1,,~.~N tic,
PROPERTY LOCATON: MPQ-*6
SUBDIVISION LOT # 13`t
~ L, tO,-7OLV45fld~~ Date: 3 IxS~Zb
S6L10
P~PC
uepartmem ul anvnunnlem, r1CdMl, d11U NdWldl rICJUUiGCJ
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
(''Public [ J Individual
[ ] Auger Boring
[ Sewage
01 Icel.
Property ID:
Lot
File
Code:
Applicant: /
Date Evaluated:
{'8 I a~
Property Size:
Property Recorded:
[ ] Well Spring Other
Pit [ J Cut
Industrial Process [ J Mixed
P
R
a
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/ .
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
1941
Consistence
Mineralogy `
.1942 ,
Soil
Wetness/' ' -
Color
;.1943
soil';.
Depth (IN.)
.1956
Sapid'
Class
1944
j Restr
Horiz.
Profile
Class
& LTAR
7
c,17
~
1,7- Z
V 6(_ l rc /
,r f~~
/ cz. 2 ~z
c) -t
LS
2-
g~! 5c1
s
cs -elf ;
vS
o-!L
U Lf
✓ ,.-~6,v~
X ~10
_041-rcl
rr rll-:,
. 2 C/z z z
~f .
04
4""
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
n U r'~P
!
=ns.-la
Site LTAR
•5
Other Factors (.1946):
Site Classification (.1948):f
Evaluated By: 0"
Others Present: