IPACHTE# O~~ G Harnett County Department of Public Health 2 5 3 0 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: bct~c V --n
ISSUED TO: Y~ Co ;CLV C~'\N' ~ '.-3 SUBDIVISION Pr ow L~-a Fpg 5 LOT #
NEW-X REPAIR ❑ EINSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: VSJ ~5>~x3c:A
Proposed Wastewater System Type: C-o"-4 .-v- N o ;.t t,,
Projected Daily Flow: C7 GPD
Number of bedrooms: Number of Occupants: ~o max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well I C'iQ feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: ~ i g* Date: qI D()\ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a nce of other permits. The permit holder s re ponsible 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 Impr ment 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 TO: ~YN,v Co s Ts;aQc;' ) }0 PROPERTY LOCATION: P~oc~e~
SUBDIVISION P)a>,E~c~ ~rta~r.s LOT # "'i
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'I~Z No
Type of Wastewater System** C-, " \J E t r "6y~ ca ~ (Initial) Wastewater Flow: ~ GPD
(See note below, if applicable
CIO N '4 \ 4~3 t`t (Repair)
Installation Requirements/Conditions Number of trenches y
Septic Tank Size \0 C7C~ gallons Exact length of each trench -10 feet Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of. t-21 - -6-0 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
- inches total
**If applicable: / understand the system type speciled is different from the type speciled on the application. / accept the rpecilcationr of this permit
Owner/Legal Representative Signature: Date:
Vf--tlVU MUMV1Jc4uo1t a ~uufea w lerocm n me site plan, piat, or me mtenaea use cnanges. me construction RumonzahOn shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with th~ro oft aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Cons n Authorization Expiration Date: t
HTE# Permit # Zf;:~ dJ
Harnett County Department of -M-tblic Health
Site Sketch
PROPERTY IOCATON: NQlC,0C Y RQ
ISSUED T0: `9cv tit ;S ~~2 tJ SUBDIVISION em it-Eu FPcZ.~S LOT # c
Authorized State Agent: Date: t 1 D~
I C.ci,~sGaS~or;~,G
R
C
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: 3 ~((Zoot~ Design Flow (.1949): 346013c)
Location of Site: \ ~t)C-,
Water Supply: Public [ j Individual [ j Well
Evaluation Method: ~-"uger Boring [ j Pit
Type of Wastewater: Sewage [ j Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring
[ J Cut
[ J Mixed
[ J Other
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
.1940
Landscape
Position(
, Slope%
.
Horizon
Depth
IN.)
.1941
Structure/'
Texture
A94t
Consistence `
Mineralogy
194 "a.
Soa -
Wetness/
Color
.1943 ,
Oepih (IN.)
.1958
.Saptu`=
Class
.x.1944`
_ Resti<
Horn.
.
PFofile
Clash '
& LTAR
L
{S
c
)o
'-j(;
59 V_ SC-L-
FcL
i
PS
Ca_
~rL 5~
a- S-) p
SS 1
I
Description
Initial System
R pair System
Available Space (.1945)
'1
V
System Type(s)
Cc N
Q0 N
I Site LTAR
Zt
.3S
,1+"-)0 @, Iv ars'
Other Factors (.1946): _
Site Classification (.1948): QS
Evaluated By: C}l
Others Present:
Qvr+Q R~~~ j We>1e e Pumgy of cry N T,(~ ~r~ PrL'2
Ch , , x Ric dJ f`c F~ ~ v,i~t1 t- T 0 ran C