IPACHTE# ►o-s-~~ Harnett County Department of Public Health 2 6 1 3 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Sp.w G2p55 C -T
ISSUED TO: G-' tp'N6.cvS 0.4 g Va _'o dl'& iN L SUBDIVISION ~~Lc s r'~ 2cyC LOT # 32.
NEW)] REPAIR -WANSION F-1 Site Improvements required prior to Construction Authorization Issuance:
S a'% AS 6
Type of Structure: F ~
Proposed Wastewater System Type: a 5°% Qsp xn; ~ a N C- Sys y
Projected Daily Flow: L'S`Z~ GPD 'Is
Number of bedrooms: Lam, Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes I
' No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 C) Q) feet Permit valid for. Five years
Permit conditions:- ❑ No expiration
Authorized State Agent: Date: 6 ( SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i uance er permits. The permit hold r is resp Bible 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 Improvemee''tnn Nkmit 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:"E5'~~~isrJ C_ PROPERTY LOCATION: SAw C~~.~S C~
SUBDIVISION Q AL,yv C C-'aova LOT # 3a
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" 2S% e-Ez Uc- ~ j S-1S(Initial) Wastewater flow: LAO GPD
(See note below, if applicable
V-60 O
~N L V ,y SJ s-Sr_-n (Repair)
Installation Requirements/Conditions
Number of trenches LA
Septic Tank Size i o o a gallons
Exact length of each trench 10 0
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: N
(Trench bottoms shall be level to +/-114"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions: \v1a'%i_ L►r„& \AJsS $C ir" '
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
(Aggregate Depth:
1 C~ SSEeN `V O U'C\L\'S *W_S
C>A 2
inches below pipe
inches above pipe
inches total
**If applicable: l under fund the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject he site p lat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is skill t to compliance wi a pro ns a sand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: G ~q w
Construct) uthorization Expiration Date: 61zlq
HTE# 1 O-5 -a4F,O'l Permit # a~ 13°1
Harnett County Department of 1"liblic Health
~vite Sketch
PROPERTY LOCATON: 5~W Cct ss C~
ISSUED TO: S~ r+ k:~x5 , C. SUBDIVISION ALN v~ ttci t L- LOT #
Authorized State Agent: ouv _ y OLXsb"~ Date: a`l 1
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Department of Euvironnunt, Health and Natural Res UM"
Division of Environmental Health
On-Site Wastewater Section
SUIIJSITE EVALUATION
for ON-SITE WASTEWATER BYST>etrF
Owner. Applicant
Addrew. Date Evaluated:
PMPMQ aL 3~If~ ~ aG0QWm5 De dP Plbw (.1949Y.4jo
roOOdy Recorded- Y
Watet sup*, Public ❑ Wividual [I Well
Evduadca Method; uger Boring 0 Pit
Type of Waawaber: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Cade:
Property Size:
❑ Spring ❑ Other
cut
Mud
P
R
O
F
SOIL MORPHOLOOY
OTHER
1 .1940
L [
d
.1941
PROFtLB FAt"tOR3
.sr
ecepe
Hadzos
.1941
S POSMOW
N Slope's
DqA
(la.)
.1941
Sk
w
.1941
SON 1 1916 .1944
PM MS
uC o
Texture
Consistence
Mineseb
wets soil Saprv R=&
Color
M
d
CIMM
o
QV Clan Haas
A LIAR
~'16
5$~s~-t
~n.s3~st
e10-'-kl. Sbk.. SG.z, s `S P
x3~c C- a) p c~ ~~~a''
Ps
.3
o lit 6 5 L vm a5
`1-
0-
C ' 3 L V'FR, rb~~
~w\\R
~a-No\C, ..~C,~, CAL (
Initial Repair system Other Facton (.19M6
Sol
4@3
Site Ctasa adon (.1948k
'P 5
941
~ Evaluated By:
. z z Othas present: