IPAC RHTE# )iCO Harnett County Department of Public Health 2 61 1 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 rz, , P (P
ISSUED T0: S'`'am ~'dmC-~ gt pQS SUBDIVISION PLVVs: Pt, \ pf, ~/~..sEyp~2p LOT # a
NEW'k REPAIR E P ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: aS °lb ~Es~v c so N Sys ; r
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: Co max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t0-0 feet
Permit conditions:
Permit valid for. "~Z Five years
❑ No expiration
Authorized State Agent:`16,5 Date: a- 1.0
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuar other permits. The permit holder is responsible 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 Improvem ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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, .1957, .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: y-, 1~o mGs ~c o PROPERTY LOCATION: `-T N Pe QD
S IFQ C ~o 0~ SUBDIVISION e-;A1-f5 F<- Vd N LOT # ac°
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~No
Type of Wastewater System** a'5°/o RLpuc„ s Sys (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
qEp•: (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 100Q gallons Exact length of each trench ~:L a5 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover:
nches
Maximum Trench Depth of: 1J 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.-V"'& svr.~: g,j PcZOpoSAL. FQ.CK- inches total
\11y~svL,4,s_ C1vs-s Qr-- SQ F~ c, Sq-v c. 55 e: n, No 'E~.s N1wl E~ua-oP,o~ O,J
~-4 VT) P., - U a- ~PP.,\n-
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the speciFcations of this permit.
Owner/legal Representative Signature:
This Construction Authorization is subject to revocai
c
Construction Authorization is subject to compliance
Authorized State Agent:
Date:
the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
to isio"inf the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: I I'Z.l tio
Authorization Expiration Date: 6 )al)s
NTE# bO"5' 1 (t Permit # a- ~l14
Harnett County Department of ll~ blic Health
Site Sketch
ISSUED TO: `J-yY-
Authorized State Agent:
PROPERTY LOCATON: -7-a'99 il-D
SUBDIVISION P~P.,at 9.T,\ C N Ca j \+4"ps~ LOT # 2k
s \AL,vG-'z..Scvy-, OD ) Date: 10
°t 5 ,
D
V
a_
'75
l~-cueperLNOwt t-1-j
any'
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
On-Site Wastewater Section
Lot
SOHJSITE EVALUATION
File
Code:
for OH-SITE WASTEWATER SYSTEM
.
Owner. Applicant:
Addresr. Date Evaluated:
Proposed Facility: Design Flow (.1949):
Property Size:
Location of Site: Property Recorded:
water suppler; ❑ Public ❑ Individual ❑ well
D Spring ❑ Other
Evaluation Method: ❑ Auger Boring ❑ Pit cut
Type of wastewater. ❑ Sewage ❑ Industrial Process Mixed
P
R
O
F
SOIL MORPHOLOOY
OTHER
1
L
.1940
l.axaeapa
Horizon
.1941
PROFILE FACTORS
E
a
Posidod
slo" %
Depth
(1a)
.1942
.1941 .1941 soil
str
h"
.1943 .1956 .1944 Protllta
va
Conddew webmw
Texture Miwnlo Color
soil saprv Re* CIaM
1N. Claw Harts A LTM
S-1o
-c~
z L D-IN
Description ~ Repdr System Other Factors 1946
3 °t0°a Site Claui$cad(o (.1948k
Available s p ,194!
s mere s Evaluated By
seta LTAR Others A"mt: