IPACHTE#c~q -s-`3,153. Harnett County Department of Public Health 2 51 7 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: O MP se t i (Zd
ISSUED T0: P~ L ycn~ N 6~ SUBDIVISION ,~r E> M . C,jp the tCS t } LOT #
NEW( REPAIR ❑ EXPANSION, El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MUN.))~,'Z Cy'T --I i"~
Proposed Wastewater System Type: Ca n i t U t g to
Projected Daily Flow: "~4Z7 GIRD
Number of bedrooms: a Number of Occupants: L-imax
Basement ❑Yes `A No
Pump Required: ❑Yes -'~l No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 ~ feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the nce
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: "111010 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is respon le for checking with appropriate governing bodies in meeting their requirements. This
wrznt 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, .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: V~ A t z Cvr<,ct\ ~ A
PROPERTY LOCATION: Ti-tc~s, Pso r~
SUBDIVISION CtL Y"1 . Carta tG'i0~ LOT #
Facility Type: M P" ,1-Ao tk ~11J-;A16) New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes IxNo
Type of Wastewater System r"J r t (Initial) Wastewater Flow: `~-Itb GPD
(See note below, if applicable
C-- ~vEt~C1 to Ai.-. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Logo gallons Exact length of each trench O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of, inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 1~11 Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
12 inches total
**If applicable: /under tand the system type specified /s different from the type specified on the application. / accept the specidcwt fls of this permit.
Owner/Legal Representative Signature: Date:
Thk fnmrrurtinn Authnn-tinn is -hi- t~ ;a A -i__ -1_. - , -
r r• g~>. me wmuntluu muuiorzamon snap not ne transterrea when there is a change in ownership of the site. This
Construction Authorization is ect to com ianc h n iv the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: S Date: S4
truction Authorization Expiration Date: a to
HTE# C)") Permit # aS)-15
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent _ 6L,-LQ- `T"oL-,-w Date: 1l b
uepartnlent ui CIIvilu,"'Itn't, rlCdlul, dllu IV6tulo1 Iwowl _ _
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: x Design Flow(. 1949): Location of Site:
Water Supply: Public (j Individual [ ] Well
Evaluation Method: ~~Auger Boring [ J Pit
Type of Wastewater: -1 j Sewage (j Industrial Process
Date Evaluated:'
Property Size:
Property Recorded:
( j Spring [ J Other
[ J Cut
[ j Mixed
P
R'
O
F
SOIL MORPHOLOGY
.1941
: `OTHER.:
PROFILE FACTO
=
RS
t
.
I
L
E
#
:.1940
Landscape
Position/, .
Slope°.b
Horizon
Depth
(IN.)
C) -3
.1941~
S(ructure('
Texture
G
: ',i941
Consis►enee
Mineral
ogy
~'~ct ~ tP
.1942
71 VIA 41
= Soil }rte
Wetnessfs a.`
C
,
.
`143
SoH,i.
t7epth' (lN.)
j95~°
: Sap'r°c
Class • .
L `:1944
Restr' :
korit
Profil8,
Gtass
& LTA
R. c
. 35
1~
5 C_4_
Gtt
G -r-~~ ~3~
3
_
Z `7 • L
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
3 n .2-0 e_ IX.