IPACHTE# o~-a~6~~~ Harnett County Department of Public Health 25188
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S t EczczT~ `tea c,,t L
ISSUED TO: S'Opsw C0"'3-'2UC-"7\ S sv Cp. ~tv G SUBDIVISION `~~ercuzt,, ~t tLAGL LOT # ~Z
NEW'( REPAIR ❑ ENSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S V7~ ~ Zly'
Proposed Wastewater System Type: 3- ~ / o
Projected Daily Flow: t'f`b0 GPD
Number of bedrooms: 4 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: ❑ Communj Public ❑ Well Distance from well tC)C~ feet Permit valid for.I Five years
Permit conditions:_ ❑ No expiration
Authorized State Agent.: Q 5 Date: 5 is O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit holder is r sponsible 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, 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 T0:11c~ay C2UC CSb > PROPERTY LOCATION: S,~ le~,L-
SUBDIVISION S VF-IZQP, \(ILI n~ LOT #
Facility Type: s~~C~x t iG~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Y~-e_o'yc-'~ \ U u (Initial) Wastewater Flow: ~~d d GPD
(See note below, if applicable
Rcc~vcz \ Qj N (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size t ao gallons
Exact length of each trench ZLOCI
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. 12 "30
(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 f,' - 1cD, inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the rystem type ,rpeci6ed it different /rom the type speciTed an the application. /accept the rpeciFications of this permit.
Owner/Legal Representative Signature: Date:
SEE ownership ATTACHED of the site. This
`aomnceuon ias, pla~ eo Laws e and intenaea
Rules for Sewage cnanges. the
of his r permic there is a change
and t' to the shall cnditions transferred
Treatment t and lDisposal Authorization
Construction Authorization is subject to c SITE SKETCH
Authorized State Agent:. Date: s~ 0~(
Construe Authorization Expiration Dater
HTE# Permit # -,,TN`s
Harnett. Connty7 Department of ll ~iblic Health
Site Sketch
PROPERTY LOCATON: '7~ , 2 P\\ lr
ISSUED T0: CD- Co. ViG_ SUBDIVISION L
-Lp,6E LOT #
Authorized State Agent: Q ~O~ivF~Z ►QLx~ Date: 31 1)OC1
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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:
1
t~'^ W`*-
go
1949):L
n Flow (
i
D
4 $Erarx
Proposed Facility:
j
.
g
es
Location of Site:
Water Supply:
Public
(j Individual [ ] Well
Evaluation Method:
Auger Boring
[ ] Pit
Type of Wastewater:
Sewage
[ ] Industrial Process
Date Evaluated: 3) V0)01
Property Size:
Property Recorded:
[ ] Spring [ ] Other
[ ] Cut
[ ] Mixed
p
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
I
L `
E'
#
.1940
Landscape
PosltioN
Slope%
Horizon
Depth
IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil .
Wetness/'
Color
1943
Soil
Depth (IN.)
1956
Sapror'
Class
1944
1 Restr'
Horiz
Profile
Class
& 4TAR
L-5
°lo
O -,R'R 1
C, 5
vV,~ I-,-
6
44-
asp
S5 -NP
31j-
C S2
- 5z )P4,~
Description
Initial stem
pair System
Available Space (.1945)
System Type(s)
'
`ate
Site LTAR
• r'
r°
Other Factors (.1946):
Site Classification (.1948): V5
Evaluated By: d
Others Present:
t,ypD Q~, K 13cr
o c!>n . n