IPAC RRHTE# n` Ste- i~ Harnett County Department of Public Health 2 5 2 2 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~1i1-\c PROPERTY LOCATION: NC Q 4
ISSUED TO: Gaoye-- VCJ. &V SUBDIVISION ( aA"(f e S ROSS 'DA LOT # J~
NEW$ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: - 30 X-7 S W.
Proposed Wastewater System Type: QS/,, Rea"-~-'
}cs-~.
Projected Daily flow: 3100 OPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
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 10 feet Permit valid for. 'Five years
Permit conditions: 2 .v~Q\ ~A~E3y. fY1A► AiYv A\\ SCA aaAlCk ❑ No expiration
5'/ uG t ~ V4%--Ar' IVN C, nit 1 SkF tlMwrtir fY/e rv-- :fS~nsr t c1.-.. _
Authorized State Agent:: ~~~ZJ Date-~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Heaft 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 if the 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 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: e"'zOyC IbN • CSX PROPERTY LOCH ION: _Joc) L4
SUBDIVISION R Z i 1 CRa c C 12 b5 S~
Facility Type:{-
-30
9 New ❑ Expansion /P S
❑ Repair
~A
LOT #
Basement? ❑ Yes '52 No
Basement Fixtures? ❑ Yes 5~C No
Type of Wastewater System'
G -5,
(~c(~{ , o f• c I C-1
(Initial) Wastewater Flow: ( GPD
(See note below, if applicable)
'Ji
.S w3 (Repair)
Installation Requirements/Conditions
Number of trenches I
1
Septic Tank Size 1000
gallons
Exact length of each trench 300 feet
C-
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover. 0inches
Maximum Trench Depth of: 12 fl-AX 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
If applicable: / uoderrtand the system type rpeci6ed it different from the type fpeciped on the application. /accept the tpecifcations of chi permit
Owner/Legal Representative Signature: Date:
nI I wiuuuu ull nuuwncauuu a >uufeu w ievaduun n the nce plan, plat, or me mtenaea use changes. lne construction Authonzanon shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions 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: 01 c~ - c7 ~l
Construction Authorization Expiration Date:
HTE # N- 5-00_ Q) H 2~A k Permit # o? S a a ~
narnett County Department of ll~iblic nealth
Site Sketch
PROPERTY LOCATON: I)C
ISSUED TO: P~vtc C- UI SUBDIVISION 61RcJ L t Jscf LOT # ..S`L
Authorized State Agent: Date: Q)-
ji ° ~IJ
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uepar[111e11t U1 C11V❑U11111V11t, neaiui, anu wawio~ ~~wvuia.~.a
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITES WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): ,t> :3 Property Size:
Location of Site:i Property Recorded:
Water Supply: ?Q Public [ j Individual [ )Well Spring
Evaluation Method: , Auger Boring [ I Pit [ J Cut
Type of Wastewater: Sewage [ J Industrial Process [ J Mixed
[ I Other
P
0
SOIL MORPHOLOGY
1941
:.t OTHER
PROFILE'FACTORS ,
1
L
E
#
.1940
Landscape
Position/ .
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/'
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr'
Horiz
Profile
Class. '
& 4TAR
12 J L
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Description
Initial System
Repair stem
Available Space (.1945)
System Type(s)
/
Site LTAR
Other Factors (.1946): 1
Site Classification (.1948):
Evaluated By:
Others Present:
~4~ Nom"