IPACHTE# Harnett County Department of Public Health 2 61 5 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: cg, L_
ISSUED TO: Ago n r~ S C SUBDIVISION ~o L v" p, 5 p ors S LOT # °1
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V" t"Sb)
Proposed Wastewater System Type: C ~r-4 \4 tit t;>, L
Projected Daily Flow:g GPD
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 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: Vs ICS SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t trice of other permits. The permit holder is res onsible 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 T0: Q0. ~~tss~~ PROPERTY LOCATION: Po«SJ21t~,~~\
SUBDIVISION LOT # LA'~-
facility Type: 15 V7D (5) X 5(1 J New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'TK No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System' Q o "N (Initial) Wastewater flow: 4~ 0 GPD
(See note below, if applicable
Co csv (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t a0 o gallons Exact length of each trench feet Trench Spacing: C1 Feet on Center
Pump Tank Size so gallons Trenches shall be installed on contour at a Soil (over: inches
Maximum Trench Depth of. inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
q r Aggregate Depth: inches above pipe
Conditions: ,11 V )E inches total
l 1~~ V rA~ C3vC.Cio~
**If applicable: / underrtand the ryrtem type rpeciped is different from the type .rpecl&d on the app/ication. / accept the .rpecificationf of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocati a site pla , 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 s * to compliance w he the ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: _
Construc Authorization Expiration Date:
NTE# 5 -a7-1 T ~1~j Permit #~)i -M
naru ett county I )apartment of w i s Heaw,
site sketch
PROPERTY LOCATON: C'OrA »
ISSUED TO: - f SUBDIVISION LOT # 45
Authorized State Agent: S(01 Xvl ? 1Q~ r Date: '7 S
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOI1JS1T9 EVALUATION
ror OK-SI TIC WASTEWATZR SYSTEM
Owner. Applicant:
Address: Date Evaluala-- ' i) ►e
Proposed Fac ft. r Desip Flow (.1949); '-Ab
Location of Site: Property Rmrded
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Water Supply: -%u fic ❑ Individual ❑ Well ❑ Spring
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of wastewater: Sewage ❑ Industrial Process ❑ Mixed
❑ Other
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1
1940
OILMORPHOLOGY
.1941
THER
PROFtLB FAG"tOR3
L
L
N
L xWsapr
PosiHod
Slope %
Horizon
Depth
(IM)
.1941 .1941
Shueturrr CaasirtM"
Taxwe Mtnrtsto
.1941
soil
wetnerst
Color
.1943 .1956
soil 38pre
IN. Clan
.1944 Avift
Re* Clow
Hail. A LTAR
4AVallable 3yetew Othdr Factors (.1an iflcation (.1948k 5
9 sa .1941 Site Cl EvehaWd By: C}rt
q Others Prexr>t:
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