IPACHTE# I'I Harnett County Department of Public Health 2918
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
y PROPERTY LOCATION-"�7L cJwJ�
ISSUED T0: ��� � ���}'Yk./G�� SUBDIVISION a LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Tyype: —a1
Projected Daily Flow: 'J (o (7 GPD
Number of bedrooms: — Number of Occupants: 4::P max
Basement ❑Yes OF No
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
LiS Marequired based on final location and elevations of facilities
fa' Public Z Well Distance from well D!) feet Permit valid for: 2 Five years
❑ No expiration
Authorized State A Date: q -Z-5-1 i SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation i t e 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 Lam and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and immllation requirements o1 Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall he installed in accordance
with the attached system layout.
ISSUED T0: IOMTA) f/Zn PROPERTY LOCATION: 1a7
SUBDIVISION LOT #
Facility Type: �w/ 14 1 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2r No Basement Fixtures? ❑ Yes UA o
Type of Wastewater System** ��b
(See note below, if applicable ❑)
Z�1n l)UC.iL(n-) (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size _/ 00 O gallons Exact length of each trench 96 feet Tr
Pump Tank Size gallons Trenches shall be installed on contour at a SD
Maximum Trench Depth of: 14-i
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Permit # Z% J B /
Harnett County Department of Public Health
Site 'ketch
PROPERTY LO(ATON: 1'f wi j Ll Z L -#,j
ISSUED TO: l/a(A�- 66 LFA SUBDIVISION I LOT #
Authorized State Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: GSC—* Q --fir
Address: )4.�Lj0- Date Evaluated: Z-ZT�L3-'rL
Proposed Facility: k , h t,#— Design Flow (.1949): 3&el�
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger Burin El pit F1 cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
4
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
1,Z
LK�'a
o -3a
sc.-
-2 stJP
30 -Y
1
S
516 '
SCL
Description
Initial
S stem
Repair Sy m
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:('K _,
Others Present: V�
Available Space (.1945)
System Ty s)
Site LTAR