IPACHTE# co Harnett County Department of Public Health 2 61 4 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Pc>tvsJ sp.
ISSUED TO: Cy mP 2x-PaNS? SUBDIVISION NW 1,N N P!, LOT #
NEW JK REPAIR P PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -3 c=O UAV-1-01
Proposed Wastewater System Type: 5°!o ~LEpvG,k) Ss~
Projected Daily Flow: t GPD
Number of bedrooms: Number of Occupants: It max
Basement ❑Yes , ~ No
Pump Required: ❑Yes 19Jo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: Community X Public ❑ Well Distance from well 1°C7 feet Permit valid for, Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: `N_ ~ k&\5 Date: 1 ~ s M SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in nc way guarantees the issuanc other permits. The permit holder is res nsible 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 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 TO: -~maC -t~.Nb \kom~n VaG PROPERTY LOCATION: PO.S)U105K Q-p
SUBDIVISION CAuo1-lNr~ -D~aNS LOT # 5-3,
Facility Type: 57-0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~4 No
Type of Wastewater System** a-S"5tn Q.~rv<,-~\. C3 N Sy 3 (Initial) Wastewater Flow: ~~C) GPD
(See note below, if applicable
Pv ,VP i r) 2 S°la 6z ,Sys . (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size tOOO gallons Exact length of each trench ISO feet Trench Spacing: Cl Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: S~--) % inches
Maximum Trench Depth of: 3 C ) 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
Aggregate Depth: inches above pipe
Conditions: k,~sas-.~ 6r= y~ FQC~tY,'5C-^,r, inches total
**If applicable: /understand the ryrtem type specified it different from the type specified on the applicatiofl. / accept the .rpeciA=ionj of thin permit
Owner/Legal Representatjv nature: Date:
This Construction Authorization is subject to revo if th ite plan, intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is qq~ct%k compliance ti oand Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 111 h c)
ction Authorization Expiration Date: -7 N
NTE# 1O - S - ~5 0\~ Permit # 2k6 ! t-1 7
Harnett ('ouuty Dep rtil lei it (}f I'ial)lic Health
ite Sketch
PROPERTY LOCATON: Pa~'AoEQ-OSN CJb
ISSUED TO: G SUBDIVISION LOT # 5
Authorized State Agent: RG1iS(p 1-.1 rcrt.'~ay~5pa Date:
i
31
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Department of Environment, Health and Natural Resources
Division of Fir ironmental Health
On-Site Wastewater Section
SOIL/SM EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address. Date Evaluated:
Proposed Facility: L\ 6gDQa,c\ Desigs Flow (.1949): `AIOo
Location of Situ: Pmporh Recorded:
water 3uppb Public ❑ Individual ❑ Well
Evaluation Method: ugex Boring ❑ Pit
'Type of Wastewater Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
Filer
Code:
Property Size:
❑ Slag ❑ Other
cut
Mixed
P
R
O
P
1
1940
OIL MORPHOLOGY
.1941
THER
PROtTt 8 FACTORS
9
A
Poei~a
Slope %
DeHorizon
pth .1941 .1941
00 Sbuehwl Cowidam
Texdun Minarab
1942
son 1943 .19~tf 1941
Wdn"W Sao sq" Reatr
Cola Dkd IN. Clan Holt
ProflN
CUM
R CTAlt
Other Factors (.1946X
Site C1aasi8cadon (.1948k 3
Enhated 13y:6-~
Others Prams: B m