IPACHTE#f)cA Harnett County Department of Public Health 2 51 8 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: B u~~y g ~r p V-9
ISSUED T0: ~RE~~~~d~ Sdog SUBDIVISION LOT #
NEW Y, REPAIR ❑ f EXPANSI ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V)tom-) . 11ac~GllxB 0`D~____
Proposed Wastewater System Type: Co+4 Y,--c slc N L
Projected Daily Flow: a 4 O GPD
Number of bedrooms: Number of Occupants: _Lfmax
Basement ❑Yes No
Pump Required: ❑Yes A No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community /'I7 Public ❑ Well Distance from well 00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 3 )t7~1) 01f1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu ice 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, .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: woo ~uc,wti~.
Facility Type: V'\ P"-4 0 New
Basement? ❑ Yes 'B, No Basement Fixtures? El Yes
Type of Wastewater System** CoV-JV \ 0"c
PROPERTY LOCATION:
SUBDIVISION
❑ Expansion ❑
No
Repair
(See note below, if applicable
C N" IV S~ v r r" ~11~ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size l~G gallons Exact length of each trench `A U feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
LOT #
(Initial) Wastewater Flow: Q i 0 GPD
Trench Spacing: I Feet on Center
Soil Cover. G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Aggregate Depth: inches above pipe
inches total
**If applicable: / understand the system type ,rpeci6ed it different from the type specified on the application. / accept the tpedflcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revo`'aWip e site plan, 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 s sp compli3n 2- 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: 3))3109
Co truction Authorization Expiration Date: 3 13
HTE# 0~'S~ `1°4ks Permit # DSII'i
Harnett County Department of IlUblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: 'f" aEF~~r3orr ~-Oce) SUBDIVISION LOT #
lC-~_ CC c.
Authorized State Agent:
Q
0,.,e. Ll "c-- ~6L IV L„~ E
CALL 10
LAv L-2 0
C!~o j,~ ,oNL
Date:
P
a
c
C
A
C-.
uepartment OI C1NnunnlCfit, f7Cdill 1, dllu 1-tu-1 rcCJVUII CJ JIICCt.
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: a 'P
1 ` ' n 'A01-1-
Design Flow (.1949): -1►~Oc }
Location of Site:
Water Supply:
[,Public
[ J Individual [ ] Well
Evaluation Method:
Auger Boring
[ J Pit
Type of Wastewater:
[Sewage
Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring [ J Other
Cut
[ J Mixed
F
P
R
o
IF
SOIL MORPHOLOGY
.1941`
OTHER
PROFILE FACTORS
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
5
Q_ ~t
G 5 i--
v~2 NA'S e
45
5 ► <
'~7 u- ~
e~ -3
b -q
2
`
Description
Initial System
repair System
Available Space (.1945)
i
v
System Type(s)
Site LTAR
3
` 3
Other Factors (.1946): Q_
Site Classification (.1948):
Evaluated ByK57
Others Present: