IPACHTE# Q~-) Harnett County Department of Public Health 2 5 31 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NoOVC--`z- -~-D
ISSUED TO: C-6 SUBDIVISION PUL51rtlsv- 0 v ti.LJ--' LOT # 41
NEW REPAID ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S VO n S
Proposed Wastewater System Type: F,t-.
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: -c-' max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community , Public ❑ Well Distance from well 1E~O feet
Permit conditions:
Permit valid for Five years
❑ No expiration
Authorized State Agent.: Q.S Date: 4 1 t" 1 10 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua a other permits. The permit holder is respon ible 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: ~~sa ~►2•c ~ PROPERTY LOCATION: \~oc>vCAL
SUBDIVISION PUrs 1MMd N W t LLs LOT #
facility Type: CFO ~5G~~~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes -1, No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** N<:J L (Initial) Wastewater Flow: 3oO GPD
(See note below, if applicable
S°~n Q-ca-4 uC; tc) W Sys s m (Repair)
Installation Requirements/Conditions Number of trenches "i
Septic Tank Size \000 gallons Exact length of each trench C-,O feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4~-' inches
Maximum Trench Depth of. \Q 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. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: Pv, mg fr\Av f c~~SA2y Q~P z ~tazt ~e.~ Jct~ Q )E- inches total
F rXGsCy rtt!_L ~Qv ic2E ~ ~C~rf~t QQ-Q.~~, ~Q,S>.~ru ~P.7 6'~. w.7S'c~LZ~.S`, ~.,rs'Cs~ ~W~~Cs9.t ~7b~E-~
**If applicable: / understand the syftem type fpecib'ed if different from the type fpecih'ed on the app/ration. / accept the rpeci6cationf of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not he trandorrad when thorn k a rhanoa in nwnonhin „f rh> it, Thf<
Construction Authorization is su with rovisi f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: S Date: 41 1-110-!
Constr ~ n Authorization Expiration Date: l~
HTE# Q` S~5 Permit # x.53 Ili
Harnett Comity Department of Public Health
si to Sketch
PROPERTY LOCATON: Noc~vc
ISSUED TO: SUBDIVISION ~Fns~n~.R l> Li,S LOT #
Authorized State Agent (0 L w(-V- 'T 0 Lx51 ate:
1A~ Fl~i ~.y ;5
i
l Y5
uepalllnuia ul Cnvnvnuicn~,
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 BEi~ t"1 1~o C,q_ Design Flow (.1949):
Location of Site:
Water Supply: Public [ J Individual [ ] Well
Evaluation Method: ~uger Boring Pit
Type of Wastewater: [ ] Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ j Spring
[ J Cut
( ] Mixed
[ ] Other
P
R
p
F
SOIL MORPHOLOGY
.1941`
OTHER
PROFILE FACTORS
L
E
#
:1"940
Landscape
Position)..
Slope%
Horizon
Depth
IN.)
1941
Structure/
Texture
.1941 '
Consistence'
Mineralogy
.1942.
Soil
Wetness/
Color
1943
Soil .
Depth (IN.)
1956
Sapra
Class
.1944
r • Restr
= Noriz
Profile
Class.
& I;TAR
L5
Q
G
J' ti-!5
QS
Vq S5
-
L10
c. 5
V,FrL_ 05`1l"'
~S
a
Description
Initial Sy tem
pair System
Available Space (.1945)
System Type(s)
Gear
Site LTAR
U1,
Other Factors (.1946): _
d
Site Classification (.1948):
Evaluated By:
Others Present: