IPACHTE# ► o-s Harnett County Department of Public' Health 2 5 9 3 b
Improvement Permit
A building permit cannot be issued with only an Improvement Permit -
PROPERTY LOCATION: PoN~~ a o,~
ISSUED TO: SUBDIVISION ~a~~N Q. S Ea~aH~ LOT #
NEW;, REPAI ❑ ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 ~ ~ LA L L JXPANSION
Proposed Wastewater System Type: ~~~6 tO~AL
Projected Daily Flow: 1) ~G GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes -X No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well ~a O feet Permit valid for: Five years
Permit conditions: r ~71- ❑ No expiration
Authorized State Agent:: Date: a3~1b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the f other permits. The permit hol er is r 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 eme nt Permit shall not be affected by a change in ownership of the site. This permit k 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:--:~SON P2~ctCo~fr. 1A~L PROPERTY LOCATION: Q0 Nnriaos4" aa~L
SUBDIVISION ~.A2DL1~P S~~o►JS LOT # (-4,
Facility Type: C`~New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** C o'g V e ~o'J t.._
(See note below, if applicable
l t'4'i S"M' \0 N (Repair) 'txL
Installation Requirements/Conditions Number of trenches
Septic Tank Size t o coo gallons Exact length of each trench 15 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: --10- 14 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
(Initial) Wastewater Flow: :?>C~ GPD
Trench Spacing: c) Feet on Center
Soil Cover: \q - J~, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
L\ Aggregate Depth:
Conditions: ~r 1P,~~. r`s~ 5 QG- \Q Gaotr, Sy-S'tc-
inches below pipe
inches above pipe
1 inches total
~*If applicable: / understand the system type specified is different from the type specifed on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
Tk.> f~ A,..6„
r N as « umngc . lit s.uusuucuon Numonzanon snau not tie transterred wren there is a change in ownership of the site. This
Construction Authorization is subject ~~mpfiance wr viS sthe Laws and Roles for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: - 'r\ ~ Date: 3 Z
Const • n Authorization Expiration Date: '
NTE# 1 0 -5Permit # ~5n36
Harnett County Depa lment of Public Health
Site sketch
PROPERTY LOCATON: ~oc~EC10Sp, ~2A
SUBDIVISION CAOOL,, SSJ,.sd N LOT
ISSUED TO: -tom 1"0
Authorized State Agent: cQ.~X6 L~vGri, SvLGS~ Date: 3 I 114
I.C~ d
G2r---C-N LAN 'Ov,-
Department of Environment, Health al atu al Resources
Division of Environments! Health Property
ID:
On-Site Wastewater Section Lot ot
Lot
SOHJSITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
owner. Applicant:
Address: Date Evaluated: 3)a3)1o
PrapoSed Facility: 3 Design Flow (.1949): -c~,,
Location of Site: arty Size:
Water S Property Recorded: Public p Individual ❑ Well p spring p Other
Evaluation Method: Auger Boring ❑ Pit ❑ cut
Type of Wastewater Sewage El Industrial Process p Mixed
R
O
F
I
L
E
.1940
Horizon
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
pobW
DPA
.1941 .1941
.194Z
%1
Slope %
(la)
shuc"w Coodetaxe
.1943 .1936
we'fnew
.1944 Pm le
Twaure Minaab
Soil sapro
Color
Restr Ctaa
IN. Cleas
Hone LTAI
5,g
Site Classification (.1948r S
Evaluated BY: ~
Tb - Others Present:
v~~`IS @ dG~1~z`,