IPACHTE# Harnett County Department of Public Health 2 61 2 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M ~c-"N 0wE2.910
ISSUED TO: S-; PsC-AC' f~) L) OG-.Qb )kAN SUBDIVISION ?9-' O*i~ Qos rrS LOT # 1~3
NEWi1 REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~~L1 O 0~
Proposed Wastewater System Type: pvrnQ`So C-0r4 e---, Wt-0,t„
Projected Daily Flow: 142 L7 GPD
Number of bedrooms:- Number of Occupants: max
Basement ❑Yes X No
Pump Required: Zlyes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well VC) U feet
Permit conditions:
Permit valid for. Ix Five years
❑ No expiration
Authorized State Agent:: c1r---1\5 Date: G iC. Q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o ermits. The permit holde is resdbrisible 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 Per 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, .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: S; acv c- e)u -oeJ1,6 Vv c. PROPERTY LOCATION: TA ,c-tzo~o - QD
SUBDIVISION Po,~co,~soxr~ LOT # l~
Facility Type: New ❑ Expansion ❑ Re air
Basement? ❑ Yes :2, No
Type of Wastewater System
(See note below, if applicable
p
Basement Fixtures? ❑ Yes ~"o
(Initial) Wastewater Flow: GPD
ANr -4a L C
Installation Requirements/Conditions
Septic Tank Size ~ 0 0 o gallons
Pump Tank Size b 4 U gallons
pair)
Number of trenches
Exact length of each trench V z
Trenches shall be installed on contour at a
Maximum Trench Depth of: l~ -36
(Trench bottoms shall be level to +/-1/4"
in all directions)
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM C inches below pipe
Aggregate Depth: a inches above pipe
Conditions: \4a-c«<t, Muyc g s \C0 Fcto ~ S 5 ~c~ 5 ~ 5 ; o
inches total
**If applicable: / underftand the system type specified if different from the type speciCed on the application. / accept the specifcationf of this permit.
Owner/Legal Representative Signature: Date:
Tl:_ f__......
- •••u -111-1-- io. n mtl vm p,nn, pith, ur we mrenueu use cnanges. ine t,onstrucnon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to com tca thh tl rtymo f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 6~
Authorization Expiration Date: 4 t/- V3
HTE# SO-S-~'-401_ Permit #
Harnett County Department of t'irblic Health
5i to Sketch
PROPERTY LOCATON: M,ca;'~ uL- r .D
ISSUED T0: SUBDIVISION Qrna ws Q o"rJ~ LOT # N
Authorized State Agent: t wS`gLWFI: toLXSO Date:
PAN L t^
REP( R-
A~
0
R.
'v
Department of Environment, Health and Natural Resources
Division of Emironunental Health
On-Site Wastewater Section
S01USITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant: I -
Address: I
Proposed Facility:
Locatiou opt Site:
Watex Supply;
Evaluation Medk :
Type of Wastewata:
Date Evaluated.
Design Flow (.1949):
Pro" Rmrdc&
Sheet:
Property ID:
Lot
File
Code:
Property Size:
He ❑ Individual [I Well ❑ spring El other
Auger Boring ❑ Pit cut
Sewage ❑ Industrial Process Mixed
P
R
O
P
1 .1940
OIL IMORMOLOOY
1941
THER
PROFILg PACTOR3
L Lambe"
9 Posidoa/
M 310" %
Horizon
DMA .1941 .1941
00 Strud uref Corddem
Texdurn MiuuaM
1941
Soil
Wetnew
Color
.1043
Soil
IN.
.1956
Swe
Clan
.1944
Re*
Horis.
Rome
Clan
ALTAR
Ci (2
Site Classification (.1948 PS
ao ,sL Evaluated B)r
d
Others Preset
tx150 Q N`, `3o
qur- e