IPACHTE# d0-s-at4S-t6 Harnett County Department of Public Health 26130
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: a00LQGS2. 0C2.-
ISSUED T0: W ~s~ v ~E~ -wPtr6 N SUBDIVISION S , r^ rn, LOT # ':TJ!
NEW, REPAIR ❑ FXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 FIZA L- -t- 6
Proposed Wastewater System Type: Co it," 6-rf tlN P
Projected Daily Flow: -!>~,O GPD
Number of bedrooms: 3 Number of Occupants: C> max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well 1~7C~ feet Permit valid for. Five years
Permit conditions: \ ❑ No expiration
Authorized State Agent:: Qf
The issuance of this permit by the Health Department in no way guarantees the issu
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..
S Date: r,)iA G8 SEE ATTACHED SITE SKETCH
other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
n~ttt 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, .1956. 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:~`cG~ ®L~~yJPtr~ PROPERTY LOCATION: - oyLfl~ (-j
SUBDIVISION SJMr--, ~7 LOT # 5D
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes --~K No
Type of Wastewater System** C~ NJC-4'S'1) r' N L (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable
N v DNS \C3 N ~ (Ranairl
Installation Requirements/Conditions
Septic Tank Size L- b <00 gallons
Pump Tank Size gallons
Number of trenches 1
Exact length of each trench T O
Trenches shall be installed on contour at a
Maximum Trench Depth of- a~-30
(Trench bottoms shall be level to +1-114"
in all directions)
feet Trench Spacing: Feet on Center
Soil Cover. la-' VZ inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM inches below pipe
r A regate Depth: inches above pipe
Conditions: Mvtr'~- 9::'E }O ~Qpr,, ~~-P'L~~ cjyscCrr ~1o UtSLKS~S inches total
on.
**If applicable: / ffnde1,swd the .r
,rfte
In type Specified it different from the type rpecilled on the application. / accept the fpecilcationr of this permit.
Owner/Legal Representative Signature: Date:
This fnnct-tin. duth-i-ti o i -hi- . tt A. . .I--
- r•..,, r•°1 - a e=,. 11c -1--jun nuwontattun snap not De transierrea when there is a change in ownership of the site. This
Construction Authorization is subject to compta & hhe ~e signs of the Laws and Rules far Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~C Date:
struction Authorization Expiration Date:
HTE# Permit # a )36
Harnett Connty Depailment of_ iblic He' lth
Site Sketch
PROPERTY LOCATON: Bo u L~~2 (J
ISSUED T0: SUBDIVISION SU MM LOT # T7
Authorized State Agent: (oL~ ~-A ~ct,-VOV(-sooct)- Date:
1 ~.S
f- 0
~ 2EP A~ a, I
'5()r
O
l~
ti~,n56,
Department of Emrimnnunt; Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSUZ EVALUATION
for ON-SIT1L WASTZWATzn SYSTIM
Owner: Applicant:
Address Date E,,hlated:
Proposed F"tr 3 a taco rr Dedp Floe (.1949): --,-t,, 6 5
Locatico o( Sits:
Properhr Recorded
Wata supple Pubik ❑ Individual ❑ well
EvahmdCU Method: Auger Boring ❑ Pit
Type of Wastewater: Sewage ❑ Industrial Procear
Shed:
Property 1D:
Cot H:
File:
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
it
O
F
SOIL IdORPHOLOOY
OTHER
1
.1940
.1941
PROFtLa FACTOti3
m
Horizon
.1941
9
Poe
DqA
(1a)
.1941 .1941
sb
l
SON
i .1916
F
.1944 hom
ucuro
Condeto"
wet ww
Sego
Re* Choi
Texture Mtreb
Color
Claw
LTA
Haft
.
s
cr,~
Win; ~,~1»
Site Clasd&adon (.1940 S
\f w Evah ated By
ct 4
u Others Pftmt