IPACHTE# c-1-- Harnett County Department of Public Health 2 5 4 5 4
Improvement Permit
A building permit cannot be issued with only an Improvement P it
` PROPERTY LOCATION:
ISSUED TO: S cLLtc 02 S 1N C SUBDIVISION ~oci~S ~G S LOT # 1-1NEWN REPAIR ❑ -UPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: f V Q (7Y~ " C ~ ~l C % IV 8QCQ C_ Ca , C'1o, ~ s a. r~ ~ P n a
Proposed Wastewater S stem T pe: vome ~a Cans iv ~cx34 C_ (ti,a,~
Projected Daily Flow: GPD W I L. X_ cscD
Number of bedrooms: Number of Occupants: 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 \OD feet Permit valid for. Five years
Permit conditions: \ ❑ No expiration
Authorized State Agent: A V ~59r. Date: 5~ 1 S=10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance other permits. The permit hol r 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, .1959, .1955, _1956, .1951, A% 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: A~' \A C.~s-e-_"~cz..L<'sctQ's ~-3C_ PROPERTY LOCATION: ~~C-~ PAL c~c Q~
SUBDIVISION LOT # \-I'%
Facility Type: S~fl L3 `1rx5~~ X, New ❑ Expansion ❑ Repair
Basement? ❑ Yes '5~, No Basement Fixtures? ❑ Yes 'tkNo
Type of Wastewater System** Ott the 6 r;v~ v s (Initial) Wastewater Flow: 3~40 GPD
(See note below, if applicable
~v 1 0tvyE\ o rv sal (Repair)
Installation Requirements/Conditions
Septic Tank Size s ooca gallons
Pump Tank Size E c c~0 gallons
Pump Requirements: ft. TDH vs.
Number of trenches
Exact length of each trench feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. fl4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover la inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: Lo~ for CAE c~E~ Qs ~C,h.~ CRc ~ALu±~~ C5( l
inches below pipe
inches above pipe
1 inches total
**If applicable: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
i
Owner/Legal Representative Signature: Date:
a~,~l, „ ~,I~ plan, p,a4 ur Ine ItItCIIOCU use cnanges. me construction numonzation snail not tie transferred when there is a change in ownership of the site. This
fi construction Authorization is ect to complianch"t"
th s s o e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 51S109
Construct) Authorization Expiration Date: 't1_711
HTE# Permit L{
Harnett Connty Department of Public Health
Site S ketch
PROPERTY LOCATON:-~t`QEL. F
ISSUED TO:~,`~~ SUBDIVISION ~oai5~ GAS LOT #
Authorized State Agent: Date:I (3-A
, ~ V-` .
ueparuntltn ut cuivnunmmrt, ntYaoui, dow IVdt 1t; JVUt I.tlJ Jt mr
Division of Environmental Health Property 16.
On-site Wastewater Section Lot
File
SOIL,SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM[
Owner:
Applicant:
Address:
Proposed Facility: ~ja~1m ~A Design Flow (.1949): ~bC>
Location of Site:
Water Supply: Public (j Individual Well
Evaluation Method: Auger Boring [ j Pit
Type of Wastewater ~ ewags Industrial Process
I P
R
o SOIL
Date Evaluated: >)j~)brj
Property Size:
Property Recorded:
[ ) spring [ ] Other
( ] Cut
[ ) Mixed
F
MORPHOLOGY
OTHER
.1941
PROFILE FAC'
1
.1 .1940
.
.1942
L
Landscape
Horizon
.1941 .1941
Sol
1943
E
PoslNoN
Depth
ShuctwW Consistence
.
Wetww
SON;
0
S %
(IN.)
I Textlffa Mineralogy
,
color
I
G-1?6t
G 5 yFQ_-b
ib-tyo
.198Q 194 ProAltti
SWO' ` Restr Class
Class f•loris a LrAR
5Q
Description Initial S stem epair System
lvailable Space (.1945)
I stem Type($) P ~,v e v s^c'e sv
site LTAR Q
Other Factors (.1946): -
Site Classification (.1048): 5
Evaluated By, <S ~
Others Present:-''
` LC Y N2Tt G4a:4k 11 ~ 1\Ajw E
~VQwA~ l Q`~j