IPACHTE# 14-5 -:)'-31_3C5
Harnett County Department of Public Health 2 6 0 2 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Pa~pec~ 5~.~1rtP.it`
ISSUED TO: SUBDIVISION ~~alJ~-~rto St~.SOSVs LOT # 3`7
NEW,, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5V9(5,-A"5C)
Proposed Wastewater System Type: :LS°/c ~F.cw c:xa a N SyS; p
Projected Daily Flow: L~ i-O GPD
Number of bedrooms: U'l Number of Occupants: 00 max
Basement ❑Yes XNo
Pump Required: ❑Yes 25L No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t C>O feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent:: Date: ) O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit holde is resp nsible 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 AM, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be me[ Systems shall be installed in accordance
with the attached system layout
ISSUED T0: M P PAtz CN 1tv L PROPERTY LOCATION: Pa t--
SUBDIVISION ALn0P, •PZ0aO LOT # _3')
Facility Type: S Lsl ~56~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** o t'CoU cwt 0 'sys ; 6m (Initial) Wastewater Flow: GPD
(See note below, if applicable
c~•d fir, o rr Sy s (Repair)
Installation Requirements/Conditions
Septic Tank Size 1 ~0 gallons
Pump Tank Size gallons
Pump Requirements: h. TDH vs.
Number of trenches f
Exact length of each trench 2~4 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. a"-3_. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover t_Jk inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
I✓~N , ~~a.~ Depth: 1 inches above pipe
Conditions: inches total
**If applicable: /understand the rystem type specified it different from the type specibed on the application. / accept the rpeciflwionr of this permit
Owner/legal Representative Signature: Date:
.11-10111 nULIVI-umi 11 3uutcu <u itnuuoo n me srne plan, piat, or me mrenoea use oranges, ine construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is b ct to com vise f the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: _ a2j `7 _
Cons ction Authorization Expiration Date:
HTE# M O --5-D -I )~J Permit # -.C, d
Harnett County Department of 1'ublic Health
Site ketch
PROPERTY LOCATON: Po Nctr~sA 1e.~~ t_
ISSUED TO: A SUBDIVISION Goao~~,~cc~ S~A5Uc~5 LOT # 3`7
Authorized State Agent Qe~es `v~L ►4l- OCt~ate: ~.:7~ ~0
S4 eC" 6 Fu?WErvs a2
r v'
3~3
Department of Environment, Health and Natural Resour a
Division of Environmental Health
On-Site Wastewater Section
SOIL ISI TE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property 1D:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated: ti) 4 \0
Proposed Facility: 'A C6 Design Plow (.1949): ~~6 o a Property Size:
Location of Site: Property Recorded:
Water sup* Public ❑ Individual ❑ Well ❑ Spring ❑ other
Evaluation Method: Auger Boring ❑ Pit cut
Type of Wastewater: ~ Sewage ❑ Industrial Process Mixed
P
R
O
P
SOEL MORPHOLOGY
OTHER
1
L
.1940
d
L
.1941
PROFII,B PACT ORS
sap
an
e
Horizon
.1941
77 77
9
#
Posidow
Slope 9~
Depth
(Ia)
.1941 .1941 Soil
/
strt
h
1943 .1916
.1944 PtoHM
w
o
Condolence webmw
Taldan Mirsrab Colo
soil 3spro
D
Re* Claw
L~
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Description
UAW
Repair syrtem Other Factors 1446X
Available 9
A94!
site Classification (.1948x 5
S ,
M
Evaluated By-
O'
Si
UM-
Others Present: f