IPACHTE# (o -S- c'i Qn Harnett County Department of Public Health 2 6 0 Q 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I ~N C,>=M
ISSUED TO: SUBDIVISION Pas rA-, k'c,\ :74K LOT # Q _
NEVWA REPAIR P XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'~7*`10ll 43~
Proposed Wastewater System Type: Q\a mP~a ~tyFjv~'.CrNkI
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required:-Aes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t d0 feet Permit valid for. X five years
Permit conditions:
❑ No expiration
Authorized State Agent:: - S Date: 6 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 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: S~111 C~ Plc, 'c- ~a~FS PROPERTY LOCATION: ^1N.4JCs-N KD
Facility Type: fl ~b4 '<3'1 SUBDIVISION R$'M o ,)5 Pe, 1v7 LOT # Q_
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes -'>-d.No
Type of Wastewater System" S~j K44 C' r," P- 'J;1 o AL^ (Initial) Wastewater Flow: --"6 0 GPD
(See note below, if applicable
Pu Mfl `7a Cu Nv c ►.t<<o A,t.__ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ►OC!~)o gallons Exact length of each trench feet Trench Spacing: feet on Center
Pump Tank Size saO gallons Trenches shall be installed on contour at a Soil cover inches
Maximum Trench Depth of. 12-a' A 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: \V-ice- L-1 C-- Ctrs; 1~1 E 1:,,Y, SE tL S
Gac,r~cw v a ~ L\-\ F-5 inches total
O v ~ v ) *%>"t- a(2 R im\CI Ar7 ~ , PGA ALL, Clio, Q MPs ~ A ~
vmP T) $E QM~I E.0
-If applicable: / understand the system type specih'ed is different from the type speciled on the app/icdtion. / accept the tpecifmmionr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject ation if the site 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 Authorization is subje compliance w t ions o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: R~. Date: y L Na
Constr n Authorization Expiration Date: a
HTE# Permit # `bbd
Harnett County Department of Public Health
v i to Sketch
PROPERTY LOCATON: I ic~6~+ P~D
ISSUED TO: IL C~a2~ SUBDIVISION VAiSO m5 'PON ~ c LOT # a d
Authorized State Agent: u,4 Ey?.-ToLx;;.D0 Date: L d 1 d
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIIJSITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code.
Owner.
Applicant:
Address:
Date Evaluated:'
Proposed Facility: 3 moo- spa cam. Design Flow (.1949): 3 < G0 Property Size:
Location of Site:
Property Recorded:
Water Suppir.
Public ❑ Individual ❑ Well ❑ Spring
❑ Other
Evaluation Method: agar Boring ❑ Pit ❑ Cut
Type of Wastewater Sewage ❑ Industrial Process ❑ &fixed
P
R
O
F
SOIL MORMOLOGY OT
1
L
.1940
I oubcap,
HER
.1941 PROFII,B FACTORS
Horizon
E
PodtioW
slope `X
.1941
Depth .1941 .1941 Soil 1943
(1n.) sbuchvw Comidence wetness/
.1936 .1944 Prof e
soil
Texture Minxalo Color IN.
sq" Restr Class
Claw, Hans # LTAR
t
L
S ty
De,cnphon
Lntu) R System Other Factors (.1946k
Availabl*Space 1943)
s d Site Classification (.19487 ('75
1
dam ,
Sy Ty*)
Site LTAR
~r ~v r r m p ~v , Evehmted 13y: G~
Others Presentft.