IPACHTE#"A 17-s-a~ O-Y, Harnett County Department of Public Health 2 f 0 2 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: P 1£r rx, . ~~~~G 2
ISSUED TO: SUBDIVISION MF p,yow (2 ~c E LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: } G9 3 , /
Proposed Wastewater System Type: '15 lr Qk--u y ~ o 5 ~ 5 ; ~c~
Projected Daily Flow: 3~6 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes 1:1 No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees t 'ssu
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..
Date: --11J0 6 _ SEE ATTACHED SITE SKETCH
other permits. The permit hold is re onsible for checking with appropriate governing bodies in meeting their requirements. This
"kt 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: W ~1~" t~6Qti PROPERTY LOCATION: to --K u ~Z-\ ocr~
SUBDIVISION ntiP w V,-\ocg- LOT #
Facility Type: 'x"A New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 1<N0
Type of Wastewater System** 1J (:,-n o,'J ~E1- (Initial) Wastewater flow: 340 GPD
(See note below, if applicable
a270 IZF ot~-~cou (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size t (!-0-0 gallons Exact length of each trench ~,O feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of. la-~ 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: FR~c~c~+ ANN RLQu12C'D SEeEESy-~'cx
SF U-, v-, L rich ~S, inches total
Lb Flo m F c-
cJ 75~c- \y a _ U-c ES ~ P. ~.cio Pe C~h d'i 10 T C ~S'~L o Q- ~ f✓PO.~Q vaEA f
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit,
Owner/legal Representative I Date:
This Construction Authorization is subject to revocation 17-' ,la, 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 a compliance he and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: a 1~ n
Constr ' n Authorization Expiration Date: ~-o
HTE# S 0-5- Permit #
Harnett Connty Department of 1-~lblic Health
Site Sketch
PROPERTY LO(ATON: MEPoo.,4 Rvo6G. U2
ISSUED T0: W>>-1 C-L-c~oa.E SUBDIVISION LOT #
Authorized State Agent:
Date:
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID: t
On-Site Wastewater Section Lot
SOIIJSI TZ EVALUATION File
Code:
for ON-SITIC WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
water suppler; ❑ Public ❑ Individual ❑ Well ❑ spring ❑ ocher
Evaluation Method: ❑ Anger Boring ❑ Pit ❑ cut
Type of Wastewater ❑ Sewage ❑ Industrial Pro= ❑ IV .,d
-
P
R
O
P
1
L
E
k
1940
I mdmpe Horizon
Position/ Depth
slope % 00
SOIL MORPHOLOGY
.1941
.1941 .1941
Struebmw Consistence
Tex nre Minwaio
OTHER
PROFtLB FACTORS
.1941
%1 .1943 .1916 .1944
wetnaw soil Sapro Reap
Color 1N. clan Hail
roflir
Coen
A LTAIt
1
L -IMp u - d
L-
8.3(,
SL. Gi
l . Taw 7i~I~t''
Ate-
2
L 0-A.
sL
wm~~
L a -
ac.
iz -3b
/47
22 ly
Description
Available s
s stem ,
Sit4 LIAR
Iniliei
,
1943
s°~.
Repair System Other Factors (.1946k
Site C1auiflcation (.1948k
, i< Evahieted By.
Others Presentt.