IPACHTE#_ Qc► -Harnett County Department of Public Health 25451
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: R NA rte, -Z
ISSUED TO: ORZ;Z~ P. sLwR~ SUBDIVISION LOT #
NEWX REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V1o c~E " x5 6
Proposed Wastewater System Type: C-0 Nv f_r-j c d n p, i^
Projected Daily flow: 3.427 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes :~No
Pump Required: ❑Yes El Nohtay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "X Public ❑ Well Distance from well t00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: 7~~' Vs, Date: ci d (~I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of o ermits. The permit holder is response le 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 TO: O » `~LL~AM PROPERTY LOCATION: ~_b C'9-0
1 SUBDIVISION LOT #
Facility Type: M na • ~~'a^x~6J New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes )!k No
Type of Wastewater System*" C4 " v~-_-'s . s G "t p.' L_ (Initial) Wastewater Flow: a40 GPD
(See note below, if applicable
C--osoh.t Q+l-, (Repair)
Installation Requirements/(onditions Number of trenches Lt
Septic Tank Size ►Q<E)Q gallons Exact length of each trench (°0
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a inches above pipe
tk inches total
`If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
I> L-IL-LUu nuuwnLnuou a suuteu ru re a me site ian, plat, or me mtenaea use cnanges. me lonstrucnon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is su> ea to compliance wb t P ` apso Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3
~o
Construc ~ Authorization Expiration Date: L__8
NTE# C~i-S-dl`3a~ Permit # asLC )
Harnett C ountyr Department of 1"tiblic Health
Site ketch
PROPERTY LOCATON: RcvE_-~ f aGti Q~
ISSUED TO: C~4E Ll SUBDIVISION LOT #
Authorized State Agent: 4ate: 30~ 0
r
1od
R A~ E ni ~OG,t ~7
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: $E~1(~tisN Ha Design Flow (.1949): )~Lt0jr~Cl
Location of Site:
yr roc..
Property ID:
Lot
File
Code:
Applicant:
Water Supply: D4Public [ J Individual [ J Well
Evaluation Method: ``Auger Boring O Pit
Type of Wastewater: Sewage [ J Industrial Process
Date Evaluated: 3~
Property Size:
Property Recorded:
Spring [ J Other
( ] Cut
( j Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS .
L
E
#
..194Q~
Landscape
Posltiord
Slope%
orizon
Depth
(IN.)
1941
Structure/'
Texture
1941
Consistence
Mineralogy
.1942
SoN
Wetness!
Color -
1
1943 ,
Sa4;_r .
Depth'(IN.)
193t#
Saptnt`
Class _
,1944
. , Rests?
Horiz -
I'
Profile
Crass
& LIAR .
i--5
O
ni~( , 5 C_ t
Vn. 5-s (
4
3 3c~
Six cz
s
5
.3
z
4~
SL,
Description
Initial stem
pair System
Available Space (.1945)
System Type(s)
GO W
K
Site LTAR
-3
3
Other Factors (.1946): -
Site Classification (.1948):
Evaluated By:
Others Present:
1-~-b0 Cal va" <