IPAC RHTE# I O-sQ- Harnett County Department of Public Health 2 61 13
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
R PROPERTY LOCATION: 1 Q,\ ee %.pflD
ISSUED TO: S''' y+ 1-dot-~ _ Dti L72s SUBDIVISION AS\ 0 i.1 \J IN [,ypt-ap~ LOT #
NEW,X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: O ("~x'G '
Proposed Wastewater System Type: P\eectcNED ZL.S°lo Rt:AUC%~in1
Projected Daily Flow: G PD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No r)!~ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1Db feet Permit valid for Five years
Permit conditions: ❑ No expiration
w
Authorized State Agent::_ ~S Date: a. t6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is f 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 Improve 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, .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: s~-Or\~5. $ Lo2S PROPERTY LOCATION:
`riz~P P 9
SUBDIVISION Qio\~rttx~\a N Q~' y►~s~IPrl~
e: Svc)
Facilit
T
LOT # 4r3.$
y
yp
❑ New ❑ Expansion ❑
Basement? ❑ Yes `5< " No Basement Fixtures? ❑ Yes X No
Repair
Type of Wastewater System** aS-/O P,:F-DvG-~\CI,J Sys E:r~
(Initial) Wastewater Flow:
3 GPD
(See note below, if applicable
Pa Ec`z P`S'^ E ^s : L- P (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size t cnOM gallons Exact length of each trench 50
feet Trench Spacing: 1
Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil (over:
inches
Maximum Trench Depth of I 0,b
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
I Aggregate Depth:
Conditions: S 1;>'s a D Q N Q20TC5P%- i~r-. p peL~C,Atf\S cJo s L
inches above pipe
" V'n ,Y, SF~,.
~L,~~ ?-r- 1
0
-
Sys-~E~. No lYs~s,~t
inches total
~ Mom
/
r
N v`~V~` d aJ IN 1'~\ta~... Cj ~L- !-a.'r Pl\(Z ~~LL7T~ ,
**If applicable: / understand the system type specified is dih`erent from the type specified on the app/ication. /accept the rpecircationr of thi permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r if the site fill 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 su t to compliance wi((;the o s o ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: R>5 Date: C is
Construe ' Authorization Expiration Date: , ~
HTE# Permit # ar,, I N3
Harnett County Depail rent of Public Health
Site Sketch
PROPERTY LOCATON: Win., P P R_Q
ISSUED T0: Sx ~Oc~,~ ~,A SUBDIVISION p v.e~ ecS u N 6~)P,2fl LOT # a
Authorized State Agent: Date: C 7- p
915"
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Department of Emimnnunl, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot;
A:
SOUJUM EVALUATION File
Off;
ror ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Rvaluated:
Proposed Facility: 3 cb <--ovjtf r- Deslgs Flow (.1949). 34, 0 C v Property Size:
Location o[ Site: Property Recorded: 5
Water sup*. 4 He ❑ Individual ❑ Well ❑ Spring
Evaluation Method: uger Boring El Pit Cut
Type of Wasta9vaater, sewage D Wustrial Process Mixed
❑ Other
R
O
F
SOUL MORPHOLOGY OTHER
.1940
.1941 PROFIU FAC COR5
L
S
M
random"
Positioal
Slops %
Horizon
Drp16
(Ia)
1941
.1941 .1941 son .1043 .1956
3trvahwl Coaddmq weft" soil 31pre
Teadun Mtamb Color IN. Clay
.1944
Re*
Hair.
ROM
CI M
A LTAK
SGT P pose ~n~ C'
site claui8cadon (.1948k'Q S
EVahafadB)rcs-\ I(-,
Others PMM* E