IPACHTE#Q') Harnett County Department of Public Health 25313
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~C>ov a+,
ISSUED TO: Asap ~r~ ~c C~ SUBDIVISION ._kU551 sn ON N ~L L5 LOT # 4c 1
NEWX REPAIR ❑ XPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~~O ('5--1
Proposed Wastewater System Type: Vy e-~ o tv ~ E s ~ y Sv a t
Projected Daily Flow: 4 171C-) GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes X No
Pump Required;>'es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Lam? feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: _ s Date: -!A I 51-1 c19 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the t uan other permits. The permit holder i 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 Improveme it 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: PROPERTY LOCATION: "ecyjC(Z R~
SUBDIVISION pt-rz51Mcnov as1-L.5 LOT # L_
Facility Type: S ~ 5-), x --~l X New ❑ Expansion ❑ Repair
Basement? ❑ Yes A No Basement Fixtures? ❑ Yes \'C~'!`No
Type of Wastewater System** ?ki m po C.o N -J TIa , f at^ (Initial) Wastewater Flow: GPD
(See note below, if applicable
P(-, rho--'~~ oN (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size ► o o c-, gallons Exact length of each trench TC~G feet Trench Spacing: ` Feet on Center
Pump Tank Size s c, na gallons Trenches shall be installed on contour at a Soil Cover ig inches
Maximum Trench Depth of: 1'~ - -60 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDN vs. GPM (11 inches below pipe
Aggregate Depth: a inches above pipe
Conditions: I d" inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ration. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoc the site DIan, 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 se to compliance the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: `tl" 1i)
Authorization Expiration Date:
HTE# Permit # a-5-313
narnett County Department of Public nealth
Site Sketch.
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: Ncswcn
_ SUBDIVISION Q ~Mo r 5 LOT
Lj4-SDCoate: S C~c
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: LA VNO( NL Design Flow (.1949): 11tO ~~p J
Location of Site:
Property ID:
Lot
File
Code:
Applicant:
Water Supply: ` Qublic I ] Individual Well
Evaluation Method:uger Boring [ ]Pit
Type of Wastewater: Sewage [ ] Industrial Process
Date Evaluated: y1N-.T) A
Property Size:
Property Recorded:
[ J Spring [ J Other
[ ] Cut
( ] Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L'
E
#
1940
Landscape
Position!
Slope%
Horizon
Depth
IN.)
1941
Structure/
Texture
A941 '
Consistence
Mineralogy
.1942.,
Soil
Wetness!'
Color
1943
Sail ;
Depth (IN.)
-.1956
Sapra'
Class
!,,.1944
t Restr
Hodz
Profile
Class:
& LIAR
L51
o-
~ ~,~sr~
Ps
Y_ scz_
Description
Initial ystem
R pair System
Available Space (.1945)
System Type(s)
P10 ca
Pvn\Q
No
Site LTAR
' S
Other Factors (.1946): _
Site Classification (.1948):
Evaluated By: oiN
Others Present: -