IPACHTE# Harnett County Department of Public Health 2 5 4 5 8
Improvement Permit
A building permit cannot be issued with only an Improvement Peppit
PROPERTY LOCATION: ~1rvt -E_si
ISSUED TO: l 14 FS S 1 s ~OM E=- C~ 4(t SUBDIVISION =1 tt - C Ent t---f,.c - LOT # _
NEW'X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _S - ~
Proposed Wastewater System Type: Co r, tsv- ~c>ry p L.
Projected Daily Flow: 4; 0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -X Public ❑ Well Distance from well ~Q(~) feet
Permit conditions:
Permit valid for Five years
❑ No expiration
Authorized State Agent.: Date: S S` O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss nce of other permits. The permit holder is res onsible 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 TO:
V N I YtiOl11 S Co Q9,
PROPERTY LOCATION:
Facility Type:
5 N.-
SUBDIVISION `T'!'6E"i
n c,,-.,.;- r, o
~c LOT #
14 -
Basement? ❑ Yes '~X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Cz') "vE N, ; \ ~3 " N 'L
(See note below, if applicable
~E t i ~c, tv 4 5 (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size ti0 ~(7) gallons
Exact length of each trench
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. 3
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
S inches total
`*If applicable: / understand the ystem type specified a different from the type specified on the app/ration. / accept the speci6cationr of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revo he site plan, 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 sable t~ compliancthe ¢i aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
(Initial) Wastewater Flow: _ ,fin GPD
feet Trench Spacing: Feet on Center
Soil Cover: I inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Authorized State Agent: S Date: 5 S
Constru 'on Authorization Expiration Date: , S 11i
HTE# S-1~►3{ Permit # ti ~
Harnett county Department of I' blic Health
SAP Sketch
PROPERTY LOCATON: 7v "GE-s,}
ISSUED TO: sus F ,-t 1 V40 C~rL? SUBDIVISION LOT #
Authorized State Agent ~aL+v~sZ ~Coi xs~o2~ Dater
133 r
Co
vc~ rf at
145
S~ ~x3 s~
a~_
1
40
C
c"-Ds-sQ00,C>5 (--oj(Z5
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: : Qc m ~ vv 3G Design Flow (.1949):
Location of Site:
Water Supply: Xublic f ) Individual Well
Evaluation Method: _PI Auger Boring (j Pit
Type of Wastewater: Sewage [ j Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ ] Spring
( ] Cut
[ ) Mixed
[ ] Other
P
R
o
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
L'
E'
#
.1940
Landscape
Position!
Slope%'
Horizon
Depth
(IN.)
1941
Structure!
Texture
,1941
Consistence
Mineralogy
.1942::
Soil -
Wetness!
Color
J943
Soil :i"
Depth (IN.)
,1956
Sapra
Class
1944
1- Restr
Horir.
Profile
Class
& L.TAR
1
t_ 5
3 ~ ZA
5
V L ~
f ~
o
.34
Description
Initial ystem
epair System
Available Space (.1945)
System Type(s)
CIO
Site LTAR
I L~
°1A
QF_0~,, 1Q;
Other Factors (.1946):
Site Classification (.1948): 0
Evaluated By:
Others Present:
P rte ~"~~s