IPACHTE# lQ -s-aZ10vA Harnett County Department of Public Health 2 5 9 4 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-Gm0C i-
ISSUED TO: Nxl-~ C-10 y-r- n .atyc,5 025 \a G SUBDIVISION F'om,ti 0A\< LOT # 1`7k
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 V Q ( X01( x 5b' _
Proposed Wastewater System Type: Pub o a S°lo Rf ovC~,C1w
Projected Daily Flow: '?V O _ GPD
Number of bedrooms: -L-1 Number of Occupants: max
Basement ❑Yes XNo
Pump Required"4es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ~ Od feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Q Date: 3 1.~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit hol r 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, .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: \,A '"A C-o N`-n cLua-,y(L5 tJ L PROPERTY LOCATION: 1-"Cry
SUBDIVISION Foa~~~c
Facility Type: 5 M New ❑ Expansion ❑ Repair
Q P,(,S LOT # ND 6
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
5~ No
_
Type of Wastewater System** 9 v+r4 ~v ~.5"Jo 1~ ~cn Sys tern
(Initial) Wastewater Flow: E-N-0 GPD
(See note below, if applicable
Pump So dal. R cpuG;so~t 'JS. (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size taoez gallons Exact length of each trench 3a C5 feet
Trench Spacing: Feet on Center
Pump Tank Size t (00 0 gallons Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: N 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
Aggregate Depth: inches above pipe
Conditions: 'VIA,-s&.rt, l~~ vL ni5T (21E ~(3 ~-L n L inches total
PEct.r~z~ ~o,s~ O ~ ~i2.crrZQSti,t. ~wr~, Q~eeL.~c,~.~l'SS So~L.
Sc._f.rytsti~ .
**If applicable: /understand the ryltem type rpeciped it different from the type rpecired on the app/ication. / accept the rpeci6cations of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to on if the Ian, 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 Authorization is s a to compliant h t on he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: -5 -zx~kl~
Con ruction Authorization Expiration Date: 3
HTE# Permit # X59' 3
Harnett County, Depa lment of iblic Health
Site lzetch
ISSUED TO: ~A #
Authorized State Agents
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PROPERTY LOCATON: LCMvEL PJ~v,G~ R~
_ SUBDIVISION Fo~6s< O poe s LOT # 1~1~
~~5~°twE:2~Cot T Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated.
Proposed Facility: Ly ec-c n- r- Design Flow (.1949): tiY
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: 'Auger Boring ❑ Pit ❑
Type of Wastewater: ❑,Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Lm iscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structured
Texture
.1941
Consistence
Mineralogy
.1941
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sqm
Class
.1944
ReAr
Horiz
Profile
Class
tk LTAR
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PS
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Description
initial
S
Repair System
Other Factors (.1946).
Site Classification (
1948
Available Space 1945)
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va
uate
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Site LTAR
ti
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resent: