IPACHTE#JD-5-'-} ~0~ Harnett County Department of Public Health 2 6 01 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: C,f-yo!✓ PROPERTY LOCATION: N~1 'ai ~
SUBDIVISION I-- LOT #-5
NEW-A REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance: Type of Structure: J" 1 F-,,,, }~a E C~dJ n
Proposed Wastewater System Type: (,o-14eA,5 C)
Projected Daily Flow: Q GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes o
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well i O 0 feet
Permit conditions: Permit valid for ive years
❑ No expiration
Authorized State Agent:: -
The issuance of this permit by the Health Department in no way guarantees the iss
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
S Date: u 1
SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
v1e Went Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 T0: Gu4 ce Q6~~so C-.(
facility Type: MK",
, r, E'ca$
New
Basement? ❑ Yes No Basement fixtures? ❑ Yes
Type of Wastewater System' Co'
"E,, r-,, ocA
(See note below, if applicable
PROPERTY LOCATION: r~0
SUBDIVISION L GE LOT # 5
❑ Expansion ❑ Repair
,,i5,0o
(Initial) Wastewater Flow: O GPD
-14 Er ~ CJ rrP`L_ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1 000 gallons Exact length of each trench Si!D feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a24-~,j inches
(Trench bottoms shall be level to +1-114"
Pump Requirements: ft. TDH vs. in all directions)
GPM
Trench Spacing: n feet on Center
Soil Cover. fa-X inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: W0~-%LL- La,,,p W Aggr
Mme; ~E SLSysrCr,,
U-1 t ~ 0
tr~-';1E5 Mwa F~c~~c~ o~ 1~1 C1A~ a¢ ~EPat6L
inches below pipe
Depth: inches above pipe
- inches total
**If aoolicable / underrtand the ryrtem type Vecired it different from the type specified on the application. / accept the rpec&cm1onr of this permit
Owner/Legal Representative Signature:
This fonstruction Authorization is subs vo at an if the a plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when tthheere is a change in ownership of the site. This
Construction Authorization is s t t ompliance the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this ermit
p _ SEE ATTACHED SITE SKETCH
Authorized State Agent: 1J5
Date: lizi,
ruction Authorization Expiration Date: _i-b
NTE#
~ Permit # ~ b 13
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
E~
1
V
PROPERTY LOCATON: 1 l w7
_ SUBDIVISION L-GC3 LOT # 5
c Ls~ G-2' ogL- Date: _ LA N 0
='~F-
t - Cj
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOMSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: y) a) vO~
Proposed cation ofacilityr 3 eC oo- Design Flow (.1949):-Ube
Lo
Property Recorded:
Shed:
Property ID:
Lot
File
Code:
Property Size:
Water Suppw. OS4 blic ❑ Individual ❑ Well
Evaluation Method: uger Boring 0 Pit cut 11 spring
Type of Wastewatm wa ge ❑ Industrial Process
❑ Other H Nfixed
P
R
O
F
SOIL MORPHOLOGY
t
L
1940
.1940 apa
L Lanatiande
Horizon
.1941
OTHER
PROFILE FACTORS
E
#
Position/
Depth
.1941 .1941
.1941
son
1943
Slope %
(1m)
sttuckuw Consmence
Ted
we4bad
Sod
.1916
Sspro
.1944
Restr
Clime
F
S
LL
Minmab
Cola
IN.
Clan
aris
LTAR
0-46
.IRy ry~~ ~
P
Indial k
6a, Othar Factors 1946
1a S .1945 s sl o Repair System Site ClauifiE h~ones(~19
a co rr By: 07
Others Present:
sg