IPAC RRHTE# C~`~ -S-1S73-762SL Harnett County Department of Public Health 2 5 6 5 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: LEMUL1_ iLL-f,c-Nc. D
ISSUED TO: kcs,,- Et L F- \-4P-,a_0 _'5 SUBDIVISION CQ,'zQw-, Ez,~ LOT # f
NEWA REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: s c O ( 5a xSfl~~
Proposed Wastewater System Type: Qum \o `-..SYg QZoyc,,-t
Projected Daily Flow: 3tO0 GPD
Number of bedrooms: 3 Number of Occupants: - max
Basement ❑Yes _,~-No
Pump RequiretiYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well \-dn feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agenr : Date: 2 31 O~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the isssu t other permits. The permit holder is responsible 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 he 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: I tVwG2L ~owt~~zo~
PROPERTY LOCATION: t Z~v;,_
G
SUBDIVISION Prf_w E5_~_N
LOT #
Facility Type: '
G /
❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' _
Pump 1 0
~S°~o ou C~o1J
(Initial) Wastewater flow: 3(-D GPD
(See note below, if applicable
_
~)u m \ 0
33°6 R> )(JC_~Ta tJ (Repair)
Installation Requirements/Conditions
Number of trenches \
Septic Tank Size 1<:);zn0
gallons
Exact length of each trench ` iNO feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: _ inches
Maximum Trench Depth of: 11 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
Conditions: ~:)E
(J Aggregate Depth:
r CkQ~S d F lei t:
I .t\-Z NE.S C\ a-5-" V'~
U
inches below pipe
inches above pipe
inches total
**If applicable: /understand the ryrtem type specified it different from the type rpecided on the app&3tion. / accept the rpecifbtionr of this permit.
Owner/Legal Representative Signature: Date:
11W wiDUUIUW1 NuLIMILauun U itufea to revocation it me sitee~plan, plat, or the intended use changes. the Lonstruchon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance roy~sidk of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: .931109
on Authorization Expiration Date: 8 3~
HTE# Permit #
Harnett County I)epailment of J- ~ blic Health
Site sketch
PROPERTY LOCATON: t Fr.~~ ~~k
ISSUED TO: ow emu- - ow o.a SUBDIVISION G~,r ,Est LOT # S 1
Authorized State Agent: (F)LN"GC- `10trYSDoV Date: 3110 q
15Q'
Q.F 0.
169 ~ ~P~~~
i
v
02_
Q- r- s"\ 0 6 S 4 TJ
UCtJdl uuCnl UI G I IV 11 Vill I IGl ll, I -u.,...V ~vatul ai ~.covu~..a.o
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
,,f1or ON-SITE WASTEWATER SYSTEM
Owner: !V~ GA xi-` s
Address: _~030
rs(CAN ~r`~~~"
Proposed Facility: `?'P Design Flow(. 1949): 3100
Location of Site: 5P- 0Z$r LPXvo\ 'MQ4- '~A•
Property ID:
Lot
File
Code:
Applicant: ~ bWe" ez~w*.,M
Date Evaluated: 31 (3,a-4
Property Size: AC
Property Recorded:
Water Supply:
[„}Public [ J Individual
[ ) Well
(j Spring [ j Other
Evaluation Method:
J'Auger Boring
[ j Pit
[ J Cut
Type of Wastewater:
[,,}Sewage
[ J Industrial Process
[ J Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942 .
Soil
Wetness/' "
Color
1943.,
Soil
Depth (IN.)
.1956
Saprc
Class
1944`
Restr '
Horiz
Profile
Class'
& 4T,AFt
3
b I~j
(
}
p ff
2.s a[ ) `
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
cy5°( 2~
01
t-QE9
Site LTAR
4
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: