IPAC RH T E # a~ s~> Harnett County Department of Public Health 2 5 5 7 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~`,r4 T-~-l r-,T U Q- N ' E )
ISSUED TO: ~ Q-k- Q vc-~ a SUBDIVISION 1 t ~s ~r,~- n QQ ) • f 7 LOT # 2,G
NEW.X REPAIR ❑ WANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5~0 '«l3
Proposed Wastewater System Type: PJ n e ZV<rS x7 n
Projected Daily Flow: 360 GPD
Number of bedrooms: `3 Number of Occupants: max
Basement ❑Yes No
Pump Required--~E!4es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'K Public ❑ Well Distance from well S 0 feet'
Permit conditions: d6 No 1'Zo~ [ ~^t ~o~ O ua ~~s G~En2~r,~ ,
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees tb suance
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: I 1 b SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: \J yVAr'J PROPERTY LOCATION:
SUBDIVISION -r~ Pds"-ct LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes -XNo
Type of Wastewater System** P 0 MQ 6 ~S %6 ' ova s v d'J (Initial) Wastewater Flow: 34 O GPD
(See note below, if applicable
PvmP
) u ~lO • uC, K5~ (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size ~b in d gallons
Exact length of each trench es feet
Pump Tank Size s ao 0 gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of- Ta inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
S C-1 E--- ,s ; _ VAC"A0
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Agregate Depth: inches above pipe
D C) \ L- inches total
6q- CA-F ts"z-1 rt 1~ s sv~ v m r, C' " 6 ~-7-
**If applicable: /understand the system type speciled is different from the type speciled on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to°rerocation I the a plan, plat, 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 subj!Il compliance Ji io f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Permit valid for: Five years
v g y A~ C> ❑ No expiration
U __~t CGS CJ1t0U:o ZL;NNP . )sJ
Authorized State Agent: RS Date: O~
ruction Authorization Expiration Date: eO 1
HTE# C)cA )cZQr- Permit It a55-~
Harnett Connty DepaAment of 11 iiblic Health
Site sketch
PROPERTY LOCATON:
ISSUED T0: 2vc ~d N SUBDIVISION 6. LOT # 6
Authorized State Agent: ~Lw iotx~4tZ Date: Awln
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
'for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: 'j eWga, Design Flow(. 1949): Location of Site:
Water Supply: Public Individual [ J Well
Evaluation Method: `1~1 Auger Boring [ J Pit
Type of Wastewater: `[,.Sewage [ J Industrial Process
Date Evaluated:
'3 )3 1
~
PropertySize:
J
Jcl
Property Recorded:
( j Spring
[ J Other
( ] Cut
[ ] Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFIE FACTORS: .
L
E
#
~eaa~
Landscape
Position/
slope%
Horizon
Depth
(IN.)
.1941
Structure! ~
Texture
1%1
'Consistence '
Mineralogy'
.1942:
Soil
Wetness/ ' -
Color
1943
SoN`;, .
Depth' (IN.)
.1956
8apta
Class
f• `.j 944`
Restr.
Horst -
Profile
Cfas -
& LIAR
Fe
L-5
4T-,t " 1,
U)
5?v 5Gt
t s~~5Q
1
r ~~A
x
M
C CL '~C' '44-
9
~-f?
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6 5
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a6`
sew C-
as
a5_1 '7)a
P~~,LL
O[~.l`~`Y
CJ
57~ ~.-L
~tV 'ri'~I 111
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A
Description
Initial System
pair System
Available Space (.1945)
System Type(s)
P
p ~ mo ~o
o ra,&O
Site LTAR
I
. L+
.
Other Factors (.1946):
Site Classification (.1948): F5
Evaluated By: u-i
Others Present: