IPACHTE#0') a)s~, 1 Harnett County Department of Public Health 25178
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: O ~o Lt. 1
ISSUED TO: V QQ1A__C 011101-) ~YtGu SUBDIVISION Ross t~~C~ e,~ t p E LOT #
NEW`, REPAIR ❑ EXP NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C~-' C) LSO
Proposed Wastewater System Type: C-os t-4itC 11 c-4 P L-
Projected Daily Flow: 2:1 G b GPD
Number of bedrooms: 21 Number of Occupants: 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 G 00 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 25 Date: a ~ S 1 to ~t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss ce of other permits. The permit holder 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 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, .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: Ga-0 A2 I kAf"n.c_uc~ PROPERTY LOCATION: 0 42
SUBDIVISION Rates V 4,P L tla4l E LOT # 1L4
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System" CoN.JU4; vct:v ~ t (Initial) Wastewater Flow: GPD
(See note below, if applicable
~t-,jv~sv-~ ~ btv t~-,t_ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1Qb a gallons Exact length of each trench S0
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 212-1 _3 C)
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
feet Trench Spacing: Feet on Center
Soil Cover: I a -1~ inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
(onditions: MGC_-s :L `~+tica )1 0 ~~,s;r~L L_ ~,TIC) jy~Er~~~1
inches below pipe
Aggregate Depth: inches above pipe
t inches total
**If applicable: /understand the system type specified is different from the type specified on the app/ication / accept the .rpecifcatioaf of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subjec vocatwn if the site- fat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Author zation is '_i Impliance till c ors ofaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: A e)
Cons ~on Authorization Expiration Date:
HTE# C~) I Permit # 5 } ~
Harnett County Department of 11~iblic Health
Site Sketch
PROPERTY LOCATON: 0-
ISSUED TO: G ov- MNCUJ v)Pvgr-U- SUBDIVISION Ross C`1c~AE ~z~ LOT #
Authorized State Agent: " ~Ta~~csGa Date: ~ « o
C"3s
g2~E OCZ
uepartment ui env-1111-11t, n"-11m, ails
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Public (J Individual [ J Well [ ] Spring
Evaluation Method: j Auger Boring [ J Pit [ ] Cut
Type of Wastewater: ' (l`Sewage (J Industrial Process [ J Mixed
[ J Other
P
O
F
SOIL MORPHOLOGY
isal
i. OTHER
PROFILE FACTORS-:
;
1
L
E
1940
Landscape
Position/
' Slope%
Horizon
Depth
IN.)
,1941
Structurel
Texture
1941
Consistence
Mineral6gy
1942
Wetr►esa/'x~.. a
Color
a
1943•
Strfl`
i3epth'(INJ
c Z
1956
_ ; Sapid`
Class
t
:1944
ftestc` :
Horiz .
f A+
Protile,,
Class1
BI:TAR"-.k,
Ll`
-1K
VCcL hc3 Ship'
PS
~s t
4F`'
L
~-I>
JF~ r t~ 1
.
3
O-t,,g
~ ~
Vim- tis ~++s t?
, Q
c7_4
G s
V AL -6 ire
u~
Description
Initial ystem
R pair System
Available Space (.1945)
System Type(s)
C-
Site LTAR
Other Factors (.1946):
Site Classification (.1948): P~
Evaluated By: C}
Others Present: