IPACHTE# io s-a~►ao5 Harnett County Department of Public Health 2 6 0 4 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Hwy ay,'?
ISSUED TO: M LS oN qo R,$ 1-7 4~S 2, SUBDIVISION t L~t- cs,.t ~op ci t S C LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: rn 4"4 , NAC3 ^.1-L1 Site Improvements required prior to Construction Authorization Issuance:
y~`6
Proposed Wastewater System Type: °/e R~u~to is-CEr\
Projected Daily Flow: 3~Z> GPD
Number of bedrooms: 3 Number of Occupants: max
Basement >qYes ❑ No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: 0 No expiration
Authorized State Agent.: Q .
The issuance of this permit by the Health Department in no way guarantees the t
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..
\ \5 Date: 5 d SEE ATTACHED SITE SKETCH
of other permits. The permit holler is res onsible for checking with appropriate governing bodies in meeting their requirements. This
v nt 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: M ll roar 0{36 i~ 2 PROPERTY LOCATION: N4v4y aA 1 a~
SUBDIVISION M Z5-0 j 1aoc'I, i t LOT #
facility Type: N1A,.s NOcnE (~$x~$) -~K New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" a5'/t, tZr_oUc,-~\o p 2,<)5 TEM (Initial) Wastewater Flow: GPD
(See note below, if applicable)
2.5°~v aE~J y C•Tlo
y (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ► od0 gallons Exact length of each trench 150 feet Trench Spacing: G Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. S~~> inches
Maximum Trench Depth of: 2-30 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
(onditions: ~.1ACC~-~Nt_ 1~ys-r ~E 1~ ~~r„ SLpStc,~ ;ST~r~ 4 tL~~ SEA inches total
MA`) Er+G~~U-\ `N \'C\KL oCZ- (Z.~-p t>\1CL ~~z C-A
!1f applicable: / understand the system type specified /s different from the type specified on the app/ication. / accept the speci& tionr of thin permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revo the site plan, lat, 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 to compliance w e p 'si th s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: v~ v ~:n
2&v'vs Date: 5 ao 14
Constron Authorization Expiration Date: 5 ~.d
HTE# 6 `at Permit #O'13
Harnett County Department of ll'~iblic Health
Site Sketeb
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: -4~\1a.1
SUBDIVISION M~~ Tnr PoeB LOT #
ccCr~s~dcwf 302 ~JCT~~ Date: _
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Department of Environment, Health and Natural Rmurces Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOUJSITE EVALUATION File
Code:
for OPi-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address Date Evaluated: 5;)v 1
)Q
Proposed Faaillty: 3 Design Flow (,1949):
Q5 9,7
Property Size:
Location of Site: Property P=rded:
Water Supply;
ublic ❑ Individual
Well El Spring
Evaluation Method: Auger Boring [I Pit
I
Type of Wastewater: Sew
❑ I
q Cut
age
ndustrial P
rocess [J Mixed
P
R
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SOIL MORPHOLOGY
OTHER
L
.1940
Laudees
o
H
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.1941
PROFILE PACT(
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A
p
Position/
Slope 9ti
or
zon
Depth
(IM)
.1941 .1941
/
sk
1941
soil
.1943
uc tqw
Condrtea"
T@Xh" Mluenlo
WCOMW
Color
soil
Q4
tin G G 5 Jw
~-~t G s z ~ ~5~~
3 5~-~9 c sz
(U ~ G
s~ L
15
a-ate/i 0-all C 5 tV6
G 5L-
Site classification (.1948x S
s d _q Evaluated By: Ql
~ Othets Prext~ -1
❑ Other
.1956
.1944 Ptoft
Reair CI M
Horn A LTAI
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5,6
US
us
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