IPACHTE# a Harnett County Department of Public Health 2 51 7 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L_ tnyG-2 Y 5~
ISSUED T0: vet J ucL~ E~ u ~~e Q SUBDIVISION A~ s~ r G,,je- LOT # 35
NEWWWA REPAIR ❑XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFc)
Proposed Wastewater System Type: Cis --'4 Cc~ ~ v F L_
Projected Daily Flow: C--C GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes AI No
Pump Required: ❑Yes ❑ No ~ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ,3~ Public ❑ Well Distance from well k C") 0 feet Permit valid for: five years
Permit conditions: ❑ No expiration
Authorized State Agenr.: ~c Date: ( O"A SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit holder is~ble for checking with appropriate goveming 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 taws 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, .1957, .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 " U 6 1 A CJlroa_FS ~)ui r
Facility Type: New
Basement? ❑ Yes -19, No Basement Fixtures? ❑ Yes
Type of Wastewater System** CeN rr ~~~;P.~
(See note below, if applicable
PROPERTY LOCATION: ) iEc2 RC)
SUBDIVISION \r4A~~~r; CyE LOT # _~5
❑ Expansion ❑ Repair
)oo
(Initial) Wastewater Flow: ?4(~) GPD
Co w R, , (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size c) gallons Exact length of each trench
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 3~-3b
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
feet Trench Spacing: Feet on Center
Soil Cover t-~)--a4 inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
S inches total
**If applicable: / anderrtand the frstem type specified if different from the type specified on the application. l accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocano a siie n, 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 su o compliance`rlitl , o taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constru ion Authorization Expiration Date: r1
HTE# Q)A-5- Permit It ZIL}
Harnett County, Depailment of Y_ iblic Health.
Site Sketch
PROPERTY LOCATON: 1----+v~~~Lcz RD
ISSUED T0: v + u - ri ~5 SUBDIVISION AL~~ v~ ~~av L--- LOT #
Authorized State Agent: Date: a Q
'71 ~
i
c~ rrY~~t ~ ~ ~ lV A~ ~EPy ~t2
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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: HAo asG Design Flow (.1949): 34
Location of Site:
Water Supply: Public [ ] Individual [ ] Well
Evaluation Method: Auger Boring [ J Pit
Type of Wastewater: Sewage (J Industrial Process
Date Evaluated:
Property Size: tttt
Property Recorded:
[ j Spring [ ] Other
[ ] Cut
[ j Mixed
P
R
p
F'
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
`
l
I
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
& LTAR
f
e
L4 , L)
C_"eee
J
Description
Initial System
air System
Available Space (.1945)
J
System Type(s)
t rj V_j
Site LTAR
S
Other Factors (.1946): p_
Site Classification (.1948): T 5
Evaluated By:
Others Present:
3, -VO Q~% -3 ty a
Z f°A I,2