IPACHTE# )io Harnett County Department of Public Health 2 61 16
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Moc><-,5 90
ISSUED T0: S~GNacS~)Q ~ot~•E ~U~LpF j`tA S BDIYISION _~.ocf>EtL F mg LOT # 2L-)
NEW'14 REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF's ~f~S x3C,~
Proposed Wastewater System Type: C-o w ej.i~ s n NP,t-
Projected Daily Flow: O GPD
Number of bedrooms: Number of Occupants: Co max
Basement ❑Yes X 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 SDO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
ti
Authorized State Agent:: Date: G -8 t6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er 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 it 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 TO: S 16~tflccU c>~ ~M~~y~~c c L PROPERTY LOCATION: Mta2"~.S
SUBDIVISION Goc,paf7_ FfM LOT #
Facility Tvne u,,,., n ~ n
Basement? ❑ Yes -'K,, No Basement Fixtures? ❑ Yes No
Type of Wastewater System'"* Cot.,.4 E„r5 torvQ~L-
(See note below, if applicable
C.AcvvE~`dN ~'L- (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size I(n e) o gallons Exact length of each trench 5 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: a-~s=CL L~,+E. ~t3s~ ~
F" on, 5 i S
1 N L. O
(Initial) Wastewater Flow: 6b GPD
Trench Spacing: 9 Feet on Center
Soil Cover: 9,H inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
~O inches below pipe
Ap~regate Depth: inches above pipe
V TO inches total
*If applicable: / anderrtand the system type specified is ddferent from the type specified on the app/ration. / accept the specifications of this permit.
Owner/legal Representative Signature: Date:
Thic fnnttnrtinn Aurhnriierh~ i, 'A; I .L_ _i__ _ . . .
--g- lue Lunuticuun Rumonzauon snan not oe transterreo when there is a change in ownership of the site. This
Construction Authorization is subject to complian,' I h lion f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: Zo
Co uction Authorization Expiration Date: b k
HTE# 10 -S q'--16~7 Permit # I) (
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON: MP,94-S
ISSUED TO: S,e,~,4 fxur- U%1-oE.Qb SUBDIVISION CooeEct ~act,~ LOT #
Authorized State Agent: v v -t soa Date: l4
0N~~ 1 tea.'
13b t Lt„~oac1 Q.Q.C.
a.
v
E
Ac.-, 1r
Department of Euvrironn=k Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSM EVALUATION
for ON-SITd WAS'TMATEI€SYSTE
Owner: Applicant;
Address Date Evduatod: U
Proposed FacilltT: t3 Design Flow (.1949):
Location d Sitx Property Recorded
Watelt supply: TS4 blk ❑ Individual ❑ Well
Evaluation Method: uger Boring ❑ Pit ❑
Type of wastewater wa ge ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Si'r'ing ❑ Other
cut
Nfted
P
P.
O
F
t
1940
OO, MORPHOIAOY
.1941
THER
PROFal FACTOR3
L
9
N
la Wsum
Positionl
Slope %
Horizon
Depth .1941 .1941
(la) strnch" Cornistem
Texh" Mianb
.1941
sod
Wetsd
Color
.1$43
soil
IN
.1956
Sepro
Clow
.1944
RA*
Hods
PMM*
CIM
A LTAX
s7
b ~r6 Sc.
V~1- ,