IPACHTE#C~1 s~al~t~ Harnett County Department of Public Health 2 5 4 5 7
Improvement Permit
A building permit cannot be issued with only an Improvement Perr}it
PROPERTY LOCATION: L t _MVEt. V ~
ISSUED TO:~ ~C ~S f~hit~L EG>~Q c~ E_ SUBDIVISION O e LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c~ V D C"
Proposed Wastewater System Type: Co -4
Projected Daily Flow: GPD
Number of bedrooms: t 1 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 _X Public ❑ Well Distance from well 1 C1(j} feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: A w` ~L Date: S ) S 1 01 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit holder is 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 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: (1t1114t--AC-S!5 l ~Kp ~Ev~i ~nC r~ PROPERTY LOCATION: ~~~~EL ~LRC.G 9
SUBDIVISION moo , OC~,vS LOT # NO
facility Type: SF~ Aso X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' C~C„vvC-.N ~is ~-A N'- (Initial) Wastewater Flow: LW) GPD
(See note below, if applicable
C-10 rfV's C) " R L_ (Repair)
Installation Requirements/Conditions Number of trenches qfRz 3
Septic Tank Size T 0 gallons Exact length of each trench `1(') feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. A`b 3k, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil Cover _ L{ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
*If applicable: /under tand the system type specihed is different from the type specified on the app/icdtion. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
as P.at wo nnenueu use changes. ine consauction numonzanon span not he transterred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance witfro ns Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 9-L Date: f-'-
Construc Authorization Expiration Date:
HTE# C'301 S-~~ct Permit # ;f 145`j!
narnett County Department of ntwic nealth.
Site ketch
ISSUED TO:
Authorized State Agent:
1
PROPERTY LOCATON: Emy2_ t C 9,0
_ SUBDIVISION F~c~C e~ O LOT #
~O LlvCA-S"Ly--, Date:
13
0
T
Q
v. cv.
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: 4 g~ ~ Noc!~k,
Design Flow(. 1949): L-sj
O
f
Property Size:
Location of Site:
Water Supply: XPublic
[ J Individual
Property Recorded:
[ J Well
Evaluation Method:
Auger Boring
(J Spring
[ J Pit
[ J Other
Type of Wastewater:
7wsewage
[ J Cut
[ I Industrial Process (j Mixed
P
R
O
SOIL MORPHOLOGY
OTHER
F
:
"
1941
PROFILE FACTORS
E
119aa
.
L Landscape Hortion
E Posltton% Depth
1941
Structure!
1941
Consl3lw
E
1942:,, '
So# ; . 1943' 1958 1944
Profile r
Slope% IN.)
Texture
ce
Mineral
-gy -
WetneW S044 < Sa
P Rests; .
Color Depth 110 ' Class
ho
i
'
Class
-
C,
.
r
z
s
-
d~ LTAR
3
G
~
Description
Available Space (.1945)
g
System Type(s)
!
g!
Site LTAR
Other Factors (.1946): _
Site Classification (.1948): S
Evaluated By: UV
Others Present: