IPAC RRHTE# o~-~~a33a~ct_ Harnett County Department of Public Health 2 b 0 2 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0 C 1 ~
ISSUED T0: ! SUBDIVISION ~ocz r _s s O~ w 5 LOT #
NEWT REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: um, 1 o /0 Rc-hvC,'-to~'J
Projected Daily Flow: LA-9 GPD
Number of bedrooms: Lq Number of Occupants: max
Basement ❑Yes ~KNo
Pump RequiredA. Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for ,Five years
Permit conditions: ti ❑ No expiration
Authorized State Agent:: Date: ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the t ue o er permits. The permit holder i res ns hle 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, .1951, .195& 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: Cv s t~~S LA~s~ ,~y, PROPERTY LOCATION: v Ct~ 1
SUBDIVISION ~octEs ~ LOT # 1
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes '5k No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 90 MP-7, o KI (Initial) Wastewater Flow: t_~ GPD
(See note below, if applicable
PQ K, P~~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size in gallons Exact length of each trench 3C feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: t1~ 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: t> ~~ct , , QUw E2, l~ E 01 ~~o r1 Q t L
inches total
"~'y3~-C". PGO ~~y ~A~EO QP-l G2Qo b5sa ~2vm Q~PP1 ~~,A 5 S~~ rta ~.t.
**If applicable: /understand the system type specified is different from the ty
pe specified on the app/ication. / accept the specidcatioas of this permit.
Owner/legal Representative Signature: Date:
~<<~ nuuim¢auon > mmteu tu.dnrocaumn n me site plan, plat, or the mtenaea use cnanges. the Lonstrucoon Authorization shall not be transferred when there is a change in ownership of the site, This
Construction Authorization is subject to compliance wi- ov ul kn f the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
~ s Date: ~ z3 ~ o
on Authorization Expiration Date: z5-
HTE# 0~j -'S ~33~ ~CZ Permit #
Harnett County Department of Public health
ite ' ketch
PROPERTY LOEATON: Nva Ear pp
ISSUED T0: ~P Y ~sv S,~ 6- , SUBDIVISION won Es, O a ~5 LOT # S_
Authorized State Agent:
~LVC~o N
ueparunem ul cllvnunnlent, nCaltll, d11U 1vdtUidl r\CJUU1l Cb
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed :Facility: LA S 60 t2Wr^ A 0 Design Flow (.1949): L~A 0
Location of Site:
011CC1.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public Individual (J Well
Evaluation Method: uger Boring Pit
Type of Wastewater: ewage (J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring [ j Other
[ J Cut
( J Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
SON
Wetness/'
Color
.1943
SON
Depth (IN.)
.1956
Sapra
Class
.19"
Restc
Hodz
Profile ;
Class
& LTAR
L IS
p-ao
G 3
v~N N6 "e
s_,o
.10-140
55v<
is p
~bt~
56~ SL
Vert, ss~N~
31:-
3S1L 5 GL
F2 S is
3
(~-'-fi5'
G S
v>=n- .r., 1 N
S ,ter
i
Description
Initial stem
R "air System
Available Space (.1945)
System Type(s)
'r MW,
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: