IPACHTE# Harnett County Department of Public Health 2 5 31 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Msc,t~ Ll 1 0 ~'G("L
ISSUED TO: t t01rnZ)1S V-11 t,u SUBDIVISION Lk'.S PST M~ 12-Lc- LOT #
NEW X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: •
Y-1051-1-
Proposed Wastewater System Type: Q
-c, --,,C01-4r-.t_
Projected Daily Flow: `bb
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes '~*No
Pump Required: ❑Yes XNo
❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
❑ Public X Well Distance from well to b feet
Permit conditions:
Permit valid for. '~*e years
❑ No expiration
Authorized State Agent: Date: )1 `0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a ce of other permits. The permit holder is rm nsible 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, .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 T0: l~uc~c~~s ~2ws~s PROPERTY LOCATION: tc.a0-7-~y4F
SUBDIVISION ACS 911<,1F~ LOT #
Facility Type: A A::) s,E New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~K No Basement Fixtures? ❑ Yes IM, No
Type of Wastewater System** Q r, N -f ~-7 -r, ,c):`J 2. L_ (Initial) Wastewater Flow: `b GPD
(See note below, if applicable
~-a" -1 '
5-4-~ ~ 1 "-4 PN L (Repair)
Installation Requirements/Conditions
Number of trenches 2)..
Septic Tank Size 1 a cs c~ gallons
Exact length of each trench t a c-, feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: la-l~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
Q, inches above pipe
1 i)- inches total
"*If applicable: l understand the ryrtem type fpeci6ed if different Irom the type .rpeci6ed on the application. / accept the rpecificationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subfectto evoc ion si te pla , 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 ance wit \ r f t a and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: A\ A 2;T Date: IfIT31 d
Cons ction Authorization Expiration Date:
HTE# a1 t1~, Permit # X531 C~
Harnett County Department of Miblic Health
Site Sketch
ISSUED TO:
11.►
5%01
PROPERTY LOCATON: ~'~,ca ~,tb2,
- SUBDIVISION NC5 220 C'\2~ e- LOT #
Oz xS Date: ~~`l
Authorized State Agent:
,S.6 s "
veparinient vi cnvnumiwni, ,
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: U dC 2C C1t'~ G~~Design Flow (.1949): LW(} Property Size:
Location of Site: Property Recorded:
Water Supply: [ J Public [ ] Individual Well P ` I h5 Spring
Evaluation Method: "P"uger Boring [ ] Pit [ ] Cut
Type of Wastewater: _,[~Sewage [ j Industrial Process [ ] Mixed
[ ] Other
P
R
o
F
SOIL MORPHOLOGY
t94t
OTHER
PROFILE FACTORS
1
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
.19"
y - Restr
Horiz
Profile
Class ,
& LIAR
C
~
.
Description
Initial Sy em
Rep it System
Available Space (.1945)
System Type(s)
C,j yj
C:r) n1
Site LTAR
Other Factors (.1946): _
Site Classification (.1948):
Evaluated By:0'
Others Present: CJj