IPAC RRHTE# c,-s :Q3-,s~,n0_ Harnett County Department of Public Health 26135
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: H.n(y'~1 f
ISSUED TO: AMQaiC..Q+.4 NoM gcn -\IH SUBDIVISION T14
NEW ' em POs .tirs~ LOT :
REPAIR ❑ PANSION ❑ Site Im rovements required nor to Construction Authorization Issuance:
Type of Structure: ~(L''►o1 '~t--1"')~ p prior
Proposed Wastewater System Type: lo,sd,,r Sy_~
Projected Daily Flow: 3GPD
Number of bedrooms: Number of Occupants: - 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
Permit conditions: ,--1CIn---- feet Permit valid for. Five years
❑ No expiration
Authorized State Agent:: _ ~
The issuance of this permit by the Health Department in no way guarantees he ce
site is subject to revocation if the site plan, plat, or the intended use changes. The Im
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
1,5 Date: C T%O SEE ATTACHED SITE SKETCH
of other permits. The permit hold r is r ponsible for checking with appropriate governing bodies in meeting their requirements. This
vement 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,
with the attached system layout .1956, .1951, .1958, and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
ISSUED T0: ~C2~LAN ripc~ESr~,~t1 PROPERTY LOCATION: A'41 wl Q
SUBDIVISION ~T.sGE~ col ~s£
Facility Type: S~ L' i c1 xL't`7' New ❑ Expansion ❑ Repair LOT # 'V%
Basement? ❑ Yes
IrSi_ C-N No Basement Fixtures? ❑ Yes
to
Type of Wastewater System- °lo
(See note below, if applicable (Initial) Wastewater Flow: GPD
diL,P laZ¢,~n,TsOty Ne S`"~+r(Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1 000 gallons Exact length of each trench Qa-S feet Trench S acin
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover g 6 Feet on Center
inches
Maximum Trench Depth of V% 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. TDN vs. GPM
inches below pipe
Conditions: Aggregate Depth: inches above pipe
l F-GOrnP~,C.S yS r~M. `~1O Uf\L\~\E6 C)Psy
cA a l~t~r~ t9>%,(L inches total
v , ~ ,S o~ ~ O ~ Psz.o trios a ~ ~adr<, ~eL,c.c,
**If applicable l understand the system type .rpeci6ed it different from the type specified on the application. /accept the speclfl dons of thlf permit.
Owner/Legal Representative Signature:
Date:
This Construction Authorization is subject to re if the site 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 Authonza6on is ct compliance w e o aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Agent:
5 Date: '-_Iw))o
Authorization Expiration Date: X4.1 15
HTE# C) `S ~ S* Q~ Permit # 3-5
Harnett (Ounty Depailment of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: H_wy`J
- SUBDIVISION Poi h,if LOT # `gB
n5 ~gL~vrrL"SoL Date: 18 t(5
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G 0 L.o C.0 U a--•
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
: Lot
SOIIISITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address:
Date Evaluated: c
Proposed Facility:
Location of Site:
Design Flow (.1949):
Property Recorded:
Property Size:
Water Suppir.
❑"Public ❑ Individual ❑ Well
'
❑ Spring ❑ Other
Evaluation Method:
❑
Auger Boring ❑ pit cut
Type of Wastewater:
❑'Sewage ❑ Industrial Process 11iced
P
R
O
F
1
1940
SOH, MORPHOLOGY
OTHER
.
L ape Horizon
.1941
1941
PROFIU FACTORS
9 Position/ Depth
M 310" % (10
.1941 .1941 Soil
sbuctur~/ Considem Webmu!
.1943 .1936 .1944 Ftoft
Soil
Texturo Minerab Color
Sapro Restr Ctm
-Pqd
IN. Clan Horis R LTAR
25-
C-
13
1>escription~
S stem
~ k
RepaJr System Other Factory 1946
Avaitsbt. S ce .194!
site classification (.1948r
item a
Evaluated By:
Site LTAR
Others Present: