IPAC RNTE# I:] Li b-7 4 o4 Harnett County Department of Public Health 29192
L16MLII%Z Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:ait % NO I U I (tea .) 5 /L it I ply
ISSUED TO /C— SUBDIVISION LOT #
NEW REPAIR �� E$PANSIeOyN�❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �T�� l4�l S
Proposed Wastewater System Ig ± _ Z
Projected Daily Flow: y tJ GP 4z h;4
Number of bedrooms: !4 Number of Occupants: max
Basement ❑Yes YNo
Pump Required: ❑Yes ❑ NoM e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
bfi Five years
❑ No expiration
Authorized State A ent: t— 1 Date: .S - "5 — 1 % SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth Deparvnent in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation W 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 Mules 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: OL) A IZA e)A)Z- 5'-oz�V,
Facility Type: --P,66 14,0-0 sr.— CalUNew
Basement? ❑ Yes No Basement Fixtures; 0 Yes _
Type of Wastewater System** L-1
(See note below, if applicable ❑l
(y o
PROPERTY LOCATION: &,c M51 76 ) /iwII 1L6
SUB (VISION LOT #
Expansion ❑ Repair
No
,��
efits
(Initial) Wastewater Flow: � GPD
Installation Requirements/Conditions r Number ofetrenches 5
Septic Tank Size ZZo b gallons Exact length of each trench 1 Za feet
Pump Tank Size Z✓ G gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. z7 %
HTE#/7-S = y271/0/2
ISSUED TO:
Permit # Zn /99 Z
�D�I#yi tt County Depailinent of Public Health
Site Sketch
LOEATON 5L/qU/ ALIS 140
I#SION LOT #
Authorized State
Dater ' y — 1:7
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 62 V V�`� CAU 7
Address: Date EvdYuated: v':W(G
Proposed Facility: Design Flow (. I 949)4eft y80
Location of Siteyp f Property Recorded:
Water Supply: El Public❑ Individual/ ❑ Well
Evaluation Method:❑ Auger Boring D"Pit ❑ Cut
Type of Wastewater: E?tewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(hi.)
.1941
Structure/
Texture
.1941
Consistence
minenalogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
� l
n
I"
M
�Y3G•S
36'. s�
�
14-
4L-
Z__
Q ]j
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
AvailableS x)(.1945) Evaluated By:
S stem T e(s) Others Present:
Site LTAR