IPACHTE#o~► -a~g'5 Harnett County Department of Public Health 2 5 4 5 5
Improvement Permit
A building permit cannot be issued with only an Improvement Pe It
PROPERTY LOCATION: L7LW_>✓ t_P[
ISSUED T0: SUBDIVISION F~t~l ORS LOT # Spa
NEW 3X REPAIR ❑ E~(PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SXFp (S x-
Proposed Wastewater System Type: fir tc~t LM~rR t
Projected Daily flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z, Public ❑ Well Distance from well _ i00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 5 ) s (YA SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce of other permits. The permit ho er 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, .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: C.(>.-4 s KD AL
Facility Type: New
Basement? ❑ Yes '13, No Basement Fixtures? ❑ Yes
Type of Wastewater System" C-0 c-v-LNti\0"~-,L.
PROPERTY LOCATION:
SUBDIVISION ~~o<« LOT # 9
❑ Expansion ❑ Repair
A No
(See note below, if applicable
C-Ow \ c) rt t>' t--- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10~`C? gallons Exact length of each trenches feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 96 3n inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: GPD
Trench Spacing: Feet on Center
Soil Cover C,- ►`d inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
(I inches below pipe
0, inches above pipe
inches total
**If applicable: / understand the system type specified /s different from the type specihed on the application / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
nn wnxrnuwn nuuMncauon a wofect to revocation it me site plan, plat, or the intended use changes. the lonstruction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is sub ct to complia he tins' a laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ~eI
Con ion Authorization Expiration Date: It}
HTE# OA5-~ Permit # 'Q51i ~
Harnett County Depa lment of Public Health
Site ketch
PROPERTY LOCATON: CrwGt ~~~~c~ ~g
ISSUED T0: Av Es _ Ev C t esQ c~G T SUBDIVISION Fact Oars LOT # Nr~-_
Authorized State Agent:
~~5L (21 Date: S~St1
r
1Q t
SSA
F S V bra o r4 pq
3 1+
4z
L.
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: SI~ 0\
Proposed Facility: 3 QGcxZ_c7dA ~onL Design Flow (.1949): -?,CC) ~ Property Size:
Location of Site: Property Recorded:
Water Supply: XPublic O Individual [ j Well (j Spring [ j Other
Evaluation Method: -PlAuger Boring [ j Pit
[ J Cut
Type of Wastewater: ewage (j Industrial Process [ J Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
'
OTHER
PROFILE FACTORS:
i
L
E
#
1940
Landscape
Position
Slope%
Horizon
Depth
IN.)
1941
Stnicture[_
Texture.:
,1941
, Consisbnoe
Mineral
.1942
Sort
Wetness/
. Color ;
1943.
Sod f.
Depth, (IN.)
.1956
, 3apirar -
Class
, 19444
fie,
Horiz'.
Profile
C
& LTAR
d
` lO
l/
aH-
51~< C L`
\ fit- ~3S
~S
C
14V
sg,~_ C-L.
Fn ss s?
cX1.3
QS_
Description
Initial System
R pair System
Available Space (.1945)
System Type(s)
CSC N
Ca3_1
ISite LTAR
S
Other Factors (.1946):
Site Classification (.1948): j
Evaluated By: CY
Others Present:
-~Y,0I 3b-