IPAC RHTE# 0 JS 49c"~Q, Harnett County Department of Public Health 2 6 0 4 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION, V A Goc.-g-
ISSUED TO: N rt Co N5-C 2. y L~ D SUBDIVISION sow C_F1t. A2c'ti5 LOT #
NEWY REPAIR ❑ EXPANSII 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 5F 9 l50 x S b'
Proposed Wastewater System Type: y rn p To a-js"lo ~C;~ W „t
Projected Daily Flow: 3 (c Q GPD
Number of bedrooms:
Basement ❑Yes XNo
Pump RequiredYes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Number of Occupants: w max
❑ May be required based on final location and elevations of facilities
Public ❑ Well Distance from well 1 CO feet Permit valid for
'dive years
❑ No expiration
Authorized State Agent:: Date: d a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanceof o t its. The permit hol r is res onsible 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 all 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, .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 TO: W y N N C-01 ctry cS`n t~ PROPERTY LOCATION: Koc-orY
SUBDIVISION Ps o r--IEC-a2 ~--r-tz n LOT # S
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System" eu CnP 1 0 C15 °Le R,tso U C, V ct YS (Initial) Wastewater Flow: 3X00 GPD
(See note below, if applicable
P u ffy-V 2 S=' 'Q.,6o S (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1 o00 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size L on U gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of 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: WA~~n _ ~-t N E r1 v \ b ~ti o r-, SEpS \ c, Sic 5 ~Gr~, \y a inches total
Q> \ L \ S T ~S C'1Ay E~ut o rnC.\~ 0 r N \ C \c,t dpi P~.EPA\[l }~~t ~A
*`If applicable: /understand the system type specified is diNerent from the type specibed on the application. / accept the speci6cationr of this permit
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to re n if the site Ian, plat, 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 sufQlo compliancezith the ions a laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date:
ction Authorization Expiration Date:
HTE# 1 0 Permit #
Harnett Connty I)epartment of JAiblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION P~o~tct. ~2.ch5 LOT #
Authorized State Agent: (,P" 04 t, `-0Ly ~Q Date:
i C) C~
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4
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOII.JSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: 4)) - ) 0
Proposed Facility: `j e~fi s„ Design Flow (.1949): 3k, / cl
Location of Site: Property Recorded:
Shed:
Property ID:
Lot
File H:
Code:
Property Size:
Water Suppty Public ❑ Individual ❑ Well ❑ Spring
Evaluation Method: Auger Boring ❑ Pit Cart
Type of Wastewater Sewage ❑ Industrial Process mixed
❑ Other
P
R
O
P
SOIL MORPHOLOGY
OTHER
1
.1940
.1941
PROFIT-B FACTOR3
L
Landscape
Horizon
9
1
E
Poeidoal
Depth
.1941 .1941
.1
4
soil
.1043
.1916
.1944
Profile
Slope ~G
00
structured commence
Texture Mlnanlo
webmw
Colo
soil
Sapro
RN&
C1100
r
IN,
Clan
Ho is .
A LIAR
S o
VR11- ^N t q
06
X C- Z- F(L 5j e
V010--7
unnw Repair si'~ Oder Factors (.1946k
Y!M
s n Site Classification (.1948X
t 4F Parma a i Per o a~ a EnhmtedBy:
Others present:
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